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Organization
SUPREME HOME HEALTH CARE INC
Active
Organization
SUPREME HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVETIS KEBABJYAN (CEO)
(323) 641-7177
Entity
Organization
Contact information
Practice address
1110 N WESTERN AVE STE 204, LOS ANGELES, CA 90029-1087
(323) 641-7177
(323) 840-3252
Mailing address
1110 N WESTERN AVE STE 204, LOS ANGELES, CA 90029-1087
(323) 641-7177
(323) 840-3252
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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