Provider Demographics
NPI:1043718067
Name:SUPERIOR HOUSE CALLS PLLC
Entity type:Organization
Organization Name:SUPERIOR HOUSE CALLS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NP
Authorized Official - Prefix:
Authorized Official - First Name:CORA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SWEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:810-969-5617
Mailing Address - Street 1:2081 IMLAY CITY RD
Mailing Address - Street 2:
Mailing Address - City:LAPEER
Mailing Address - State:MI
Mailing Address - Zip Code:48446-3258
Mailing Address - Country:US
Mailing Address - Phone:810-969-5617
Mailing Address - Fax:
Practice Address - Street 1:2081 IMLAY CITY RD
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-3258
Practice Address - Country:US
Practice Address - Phone:810-969-5617
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-24
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty