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Organization
SUPERIOR HEALTH SUPPORT SYSTEM
Active
Organization
SUPERIOR HEALTH SUPPORT SYSTEM
Active
Other names
Hearthside Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACLYN MARIE CARNAHAN (GENERAL MANAGER)
(906) 635-6911
Entity
Organization
Contact information
Practice address
1501 W 6TH AVE, SAULT SAINTE MARIE, MI 49783-1496
(906) 635-6911
(906) 635-8399
Mailing address
1501 W 6TH AVE, SAULT SAINTE MARIE, MI 49783-1496
(906) 635-6911
(906) 635-8399
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
18002165740
MI
Other
Enumeration date
01/18/2013
Last updated
01/18/2013
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