# SUPERIOR HEALTH SUPPORT SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hearthside Assisted Living
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558609974
- **Authorized official:** MS. JACLYN MARIE CARNAHAN (GENERAL MANAGER)
- **Authorized official phone:** (906) 635-6911

## Contact information

- **Practice address:** 1501 W 6TH AVE, SAULT SAINTE MARIE, MI 49783-1496
- **Practice address phone:** (906) 635-6911
- **Practice address fax:** (906) 635-8399
- **Mailing address:** 1501 W 6TH AVE, SAULT SAINTE MARIE, MI 49783-1496
- **Mailing address phone:** (906) 635-6911
- **Mailing address fax:** (906) 635-8399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 18002165740 | MI | Yes |

## Other

- **Enumeration date:** 01/18/2013
- **Last updated:** 01/18/2013