Provider Demographics
NPI:1689800484
Name:SUPERB CARE, LLC
Entity Type:Organization
Organization Name:SUPERB CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:C
Authorized Official - Last Name:ROBERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-642-6662
Mailing Address - Street 1:805 N FRANKLIN ST STE 110
Mailing Address - Street 2:P.O. BOX 993
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-2734
Mailing Address - Country:US
Mailing Address - Phone:910-642-6662
Mailing Address - Fax:810-642-0014
Practice Address - Street 1:805 N FRANKLIN ST STE 110
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-2734
Practice Address - Country:US
Practice Address - Phone:910-642-6662
Practice Address - Fax:910-642-0014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health