Provider Demographics
NPI:1881903342
Name:SUPERB HEALTH CARE
Entity type:Organization
Organization Name:SUPERB HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NIENGALA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-975-1242
Mailing Address - Street 1:PO BOX 6742
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70174-6742
Mailing Address - Country:US
Mailing Address - Phone:504-975-1242
Mailing Address - Fax:504-367-8592
Practice Address - Street 1:4201 CANAL ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-5942
Practice Address - Country:US
Practice Address - Phone:504-975-1242
Practice Address - Fax:504-367-8592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-01
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care