Provider Demographics
NPI:1609351766
Name:SUPERIOR RESIDENTIAL SOLUTIONS, LLC
Entity Type:Organization
Organization Name:SUPERIOR RESIDENTIAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:KENT
Authorized Official - Last Name:STEMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-581-4430
Mailing Address - Street 1:5225 ROCKY FORD LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38002-4833
Mailing Address - Country:US
Mailing Address - Phone:901-581-4430
Mailing Address - Fax:901-475-4530
Practice Address - Street 1:5225 ROCKY FORD LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38002-4833
Practice Address - Country:US
Practice Address - Phone:901-581-4430
Practice Address - Fax:901-475-4530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-25
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Single Specialty