Organization
SUPERIOR ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORRIE REGINA DAVIS (PRESIDENT)
(443) 468-2101
Entity
Organization
Contact information
Practice address
4134 W FOREST PARK AVE, GWYNN OAK, MD 21207-7407
(443) 800-2530
(443) 378-5700
Mailing address
8201 HARFORD RD UNIT 8417, PARKVILLE, MD 21234-7545
(410) 800-2530
(443) 378-5700
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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