Organization
SUPERIOR SUPPORT SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS A HUNTSMAN SOCIAL WORKER (EXECUTIVE DIRECTOR)
(606) 376-4151
Entity
Organization
Contact information
Practice address
169 SOUTH HIGHWAY 1651, WHITLEY CITY, KY 42653-6087
(606) 376-4151
(606) 376-4151
Mailing address
169 SOUTH HIGHWAY 1651, WHITLEY CITY, KY 42653-6087
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
12/16/2009
Last updated
03/31/2010
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