| Superior D Care Inc | |
|
8010 N Middlebelt Rd Westland MI 48185-1808 | |
| (313) 478-1374 | |
| Not Available |
| Full Name | Superior D Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8010 N Middlebelt Rd, Westland, Michigan |
| Authorized Official Name and Position | Osaretin Uwaifo (CEO/ADMINISTRATOR) |
| Authorized Official Contact | 3134781374 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Superior D Care Inc 8010 N Middlebelt Rd Westland MI 48185-1808 Ph: () - | Superior D Care Inc 8010 N Middlebelt Rd Westland MI 48185-1808 Ph: (313) 478-1374 |
| NPI Number | 1265995542 |
|---|---|
| Provider Enumeration Date | 04/12/2019 |
| Last Update Date | 12/25/2019 |
| Certification Date | 12/25/2019 |
| Medicare PECOS PAC ID | 9335475946 |
|---|---|
| Medicare Enrollment ID | O20190719000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265995542 | NPI | - | NPPES |
| Provider Name | Bernard Ike Onwuemelie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295971075 PECOS PAC ID: 7315263019 Enrollment ID: I20150223001430 |
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