Organization
SUPERIOR CARE OF MICHIGAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HIRAM ZAYAS MASTER OF SCIENCE (SINGLE MEMBER)
(269) 449-8291
Entity
Organization
Contact information
Practice address
207 NORTH AVE, BATTLE CREEK, MI 49017-3430
(269) 964-8000
Mailing address
PO BOX 139, BATTLE CREEK, MI 49016-0139
(269) 964-8000
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
AS130292694
MI
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
AS130292694
MI
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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