Supreme Care II LLC.
Home Health in Norco, LA. Organization (NPI-2).
NPI number1861691438
StatusActive
Last updated in NPPESJul 13, 2007
Details
- NPI
- 1861691438
- Entity type
- Organization (NPI-2)
- Legal business name
- Supreme Care II LLC.
- Organization subpart
- No
- Enumeration date
- Jul 13, 2007
- Last updated
- Jul 13, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
15622 River RdSte. 1
Norco, LA 70079-2284
Phone 504-737-7901 · Fax 504-737-7903
Mailing address
15622 River RdSte. 1
Norco, LA 70079-2284
Phone 504-737-7901 · Fax 504-737-7903
Authorized official
Patricia Allen Martin
Owner
5047377901
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