Provider Demographics
NPI:1467628560
Name:SUPERIOR HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:SUPERIOR HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRAR
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MINTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-444-6670
Mailing Address - Street 1:PO BOX 10240
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-0240
Mailing Address - Country:US
Mailing Address - Phone:410-444-6670
Mailing Address - Fax:410-444-6680
Practice Address - Street 1:7307 HARFORD RD
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-0240
Practice Address - Country:US
Practice Address - Phone:410-444-6670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2582251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care