Provider Demographics
NPI:1235447194
Name:SUPERIOR NEW ENGLAND SUPPLY, LLC
Entity Type:Organization
Organization Name:SUPERIOR NEW ENGLAND SUPPLY, LLC
Other - Org Name:SUPERIOR MOBILITY & MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:LOVEJOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-575-3717
Mailing Address - Street 1:PO BOX 1708
Mailing Address - Street 2:1 LAFAYETTE ROAD
Mailing Address - City:HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03843-1708
Mailing Address - Country:US
Mailing Address - Phone:866-575-3717
Mailing Address - Fax:
Practice Address - Street 1:1 LAFAYETTE RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842-2626
Practice Address - Country:US
Practice Address - Phone:866-575-3717
Practice Address - Fax:877-702-1983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-14
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies