Organization
SUPERIOR SENIOR CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY DAWN WARNKE (CEO)
(580) 472-3352
Entity
Organization
Contact information
Practice address
10856 N 2070 RD, CANUTE, OK 73626-3620
(580) 472-3352
(580) 472-3497
Mailing address
10856 N 2070 RD, CANUTE, OK 73626
(580) 472-3352
(580) 472-3497
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
OK
253Z00000X
In Home Supportive Care Agency
Primary
HC8056
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC8056
OSDH
OK
Enumeration date
07/18/2016
Last updated
07/18/2016
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