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Organization

SUPERIORCARE CARE HOMES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONNA LUCKETT NURSE PRACTITIONER (DIRECTOR)
(662) 408-6995
Entity
Organization

Contact information

Practice address
2552 POPLAR AVE STE 4F, MEMPHIS, TN 38112-3834
(662) 408-6995
Mailing address
2552 POPLAR AVE STE 4F, MEMPHIS, TN 38112-3834
(662) 408-6995

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
04/24/2023
Last updated
08/25/2023
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