Hp Superior INC
Skilled Nursing Facility in Superior, WI. Organization (NPI-2).
NPI number1356374367
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1356374367
- Entity type
- Organization (NPI-2)
- Legal business name
- Hp Superior INC
- Organization subpart
- No
- Enumeration date
- Jul 10, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 2578 | WI | Yes |
Practice location
1800 New York AveSuperior, WI 54880-2008
Phone 715-394-5591 · Fax 715-394-5098
Mailing address
925 N Point PkwySuite 440
Alpharetta, GA 30005-5210
Phone 770-619-0866 · Fax 770-870-2892
Authorized official
Douglas K Mittleider
President
7706190866
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