Organization
SUPERIOR REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA LEGUM (CEO)
(516) 410-5209
Entity
Organization
Contact information
Practice address
1800 NEW YORK AVE, SUPERIOR, WI 54880-2008
(920) 453-7010
Mailing address
3014 ERIE AVE, SHEBOYGAN, WI 53081-3658
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/02/2017
Last updated
04/04/2017
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