Organization
SUPERIOR HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY MOORE (OWNER)
(315) 866-7932
Entity
Organization
Contact information
Practice address
703 MIDDLEVILLE RD, HERKIMER, NY 13350-0107
(315) 866-7932
(315) 866-1914
Mailing address
PO BOX 107, HERKIMER, NY 13350-0107
(315) 866-7932
(315) 866-1914
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
2167551
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
301768-1
LICENSED PRACTICAL NURSE
NY
Enumeration date
08/12/2010
Last updated
08/12/2010
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