Provider Demographics
NPI:1811210644
Name:SUPERIOR CARE-ADULT CENTER
Entity Type:Organization
Organization Name:SUPERIOR CARE-ADULT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDOLMAGID
Authorized Official - Middle Name:SULIMAN
Authorized Official - Last Name:ABOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-275-3200
Mailing Address - Street 1:631 W NEWPORT PIKE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19804-3259
Mailing Address - Country:US
Mailing Address - Phone:302-691-8753
Mailing Address - Fax:302-691-8761
Practice Address - Street 1:631 W NEWPORT PIKE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19804-3259
Practice Address - Country:US
Practice Address - Phone:302-691-8753
Practice Address - Fax:302-691-8761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home