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Organization
SUPREME CARE KING SERVICES HOME CARE LLC
Active
Organization
SUPREME CARE KING SERVICES HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE RODRIGUEZ (PRESIDENT)
(347) 755-8717
Entity
Organization
Contact information
Practice address
3310 CARBON ST APT 75, WHITEHALL, PA 18052-3021
(347) 755-8717
Mailing address
3310 CARBON ST APT 75, WHITEHALL, PA 18052-3021
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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