NPI 1225371495

Superior Love

Organisation Point of Service Flint, MI

Practice location

Address: 4205 Pengelly Rd, Flint, MI 48507-5430
Phone: (810) 288-1155
Mailing address: 609 E Baltimore Blvd, Flint, MI 48505-6404

Authorised official

Name: Christina Thompson
Title: Vice- President
Phone: (810) 288-1155

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 1013271923 (MI)

Other Point of Service providers in Michigan →

Registry record

NPI: 1225371495
Entity type: Organization
NPI issued: 5 Apr 2013
Record last updated: 5 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.