# SUPREME 6 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bynum6 Care Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124602859
- **Authorized official:** VERONICA DENISE DAYS (VICE PRESIDENT)
- **Authorized official phone:** (980) 417-1537

## Contact information

- **Practice address:** 3800 COOPERSDALE RD, CHARLOTTE, NC 28273-3746
- **Practice address phone:** (704) 999-8926
- **Mailing address:** 3800 COOPERSDALE RD, CHARLOTTE, NC 28273-3746
- **Mailing address phone:** (704) 999-8926

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/09/2021
- **Last updated:** 05/16/2022