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Organization
SUPERIOR CARE & SUPPORT, LLC
Active
Organization
SUPERIOR CARE & SUPPORT, LLC
Active
Other names
SUPERIOR CARE & SUPPORT, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUSA S BANGURA SR. RN (PROGRAM DIRECTOR)
(571) 247-6503
Entity
Organization
Contact information
Practice address
4355 RIDGEWOOD CENTER DR, WOODBRIDGE, VA 22192-5308
(703) 665-4479
(703) 291-8287
Mailing address
4355 RIDGEWOOD CENTER DR, WOODBRIDGE, VA 22192-5308
(703) 665-4479
(703) 291-8287
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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