# SUPREME HEALTH CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SUPREME HEALTH CARE LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568904233
- **Authorized official:** MR. AGYEMAN MANU-DAPAAH (OWNER)
- **Authorized official phone:** (314) 313-8456

## Contact information

- **Practice address:** 161 BOARDWALK GARDENS DR, O FALLON, MO 63368-3915
- **Practice address phone:** (314) 314-3219
- **Mailing address:** 161 BOARDWALK GARDENS DR, O FALLON, MO 63368-3915
- **Mailing address phone:** (314) 680-9471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 11/12/2016
- **Last updated:** 05/11/2021