NPI | 1801490131 |
---|---|
Other Name | SUPERIOR HOUSECALLS |
Doing Business As | SUPERIOR HEALTH & WELLNESS |
Former Legal Business Name | SUPERIOR HEALTH AND WELLNESS GROUP |
Entity Type | Organization |
Authorized Contact | NIKITA RICHARDSON Owner/Provider Manager 904-257-6882 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2020-11-27 |
Last Update Date | 2023-05-22 |