Provider Demographics
NPI:1447281191
Name:SUPERIOR, INC
Entity type:Organization
Organization Name:SUPERIOR, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:MANHART
Authorized Official - Suffix:
Authorized Official - Credentials:BC/HIS
Authorized Official - Phone:760-341-9619
Mailing Address - Street 1:42382 BOB HOPE DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-4469
Mailing Address - Country:US
Mailing Address - Phone:760-341-9619
Mailing Address - Fax:760-776-5861
Practice Address - Street 1:42382 BOB HOPE DR
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-4469
Practice Address - Country:US
Practice Address - Phone:760-341-9619
Practice Address - Fax:760-776-5861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA3138237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty