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Organization
SUPREME NURSING SERVICES, INC.
Active
Organization
SUPREME NURSING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE SUMON REGISTERED NURSE (ADMINISTRATOR)
(713) 752-0166
Entity
Organization
Contact information
Practice address
2101 CRAWFORD ST, 306, HOUSTON, TX 77002-8942
(713) 752-0166
(713) 752-0503
Mailing address
2101 CRAWFORD ST, 306, HOUSTON, TX 77002-8942
(713) 752-0166
(713) 752-0166
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
250E00000X
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S50027545
AMERIGROUP
—
Enumeration date
04/09/2007
Last updated
12/27/2007
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