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Organization

SUPERIOR FAMILY HEALTH SERVICES, CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONNITA MARION SCULLY R.N. (EXECUTIVE DIRECTOR)
(219) 879-7895
Entity
Organization

Contact information

Practice address
111 SKWIAT LEGION AVE STE B, MICHIGAN CITY, IN 46360-4550
(219) 879-7895
(219) 879-7603
Mailing address
111 SKWIAT LEGION AVE STE B, MICHIGAN CITY, IN 46360-4550
(219) 879-7895
(219) 879-7603

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary

Other

Enumeration date
11/28/2006
Last updated
08/22/2020
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