Organization
SUPERIOR CARE HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN SIMS (OWNER)
(270) 442-6884
Entity
Organization
Contact information
Practice address
100 MARSHALL COURT, PADUCAH, KY 42001-4075
(270) 442-6884
Mailing address
100 MARSHALL COURT, PADUCAH, KY 42001-4075
(270) 442-6884
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
100312
KY
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054705
ANTHEM
KY
Enumeration date
08/19/2006
Last updated
04/02/2015
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