Organization
SUPERIOR OPS, LLC
Active
Other names
Lighthouse of Superior
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN PATTERSON (EXECUTIVE DIRECTOR)
(218) 721-2800
Entity
Organization
Contact information
Practice address
1915 N 34TH ST, SUPERIOR, WI 54880-5575
(218) 721-2800
Mailing address
1915 N 34TH ST, SUPERIOR, WI 54880-5575
(218) 721-2800
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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