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Organization

SUPERIOR LOVE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHRISTINA THOMPSON (VICE- PRESIDENT)
(810) 288-1155
Entity
Organization

Contact information

Practice address
4205 PENGELLY RD, FLINT, MI 48507-5430
(810) 288-1155
Mailing address
609 E BALTIMORE BLVD, FLINT, MI 48505-6404
(810) 423-0857

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
1013271923
MI

Other

Enumeration date
04/05/2013
Last updated
04/05/2013
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