Organization
SUPERIOR HEALTH SUPPORT SYSTEM
Active
Other names
Hearthside Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACLYN MARIE CARNAHAN (GENERAL MANAGER)
(906) 635-6911
Entity
Organization
Contact information
Practice address
1501 W 6TH AVE, SAULT SAINTE MARIE, MI 49783-1496
(906) 635-6911
(906) 635-8399
Mailing address
1501 W 6TH AVE, SAULT SAINTE MARIE, MI 49783-1496
(906) 635-6911
(906) 635-8399
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
18002165740
MI
Other
Enumeration date
01/18/2013
Last updated
01/18/2013
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