# SUPPLEMENTAL HEALTH CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316315989
- **Authorized official:** LEESHA BUSH (DIRECTOR OF RECRUITMENT)
- **Authorized official phone:** (214) 462-7077

## Contact information

- **Practice address:** 6851 CADDO LAKE LN, HOUSTON, TX 77083-3505
- **Practice address phone:** (347) 265-0067
- **Mailing address:** 6851 CADDO LAKE LN, HOUSTON, TX 77083-3505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 834554751 | NY | Yes |

## Other

- **Enumeration date:** 09/12/2015
- **Last updated:** 09/12/2015