# SUPREME HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Interim Healthcare of Gainesville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578341574
- **Authorized official:** ANISSA CARR (OWNER)
- **Authorized official phone:** (470) 290-5419

## Contact information

- **Practice address:** 747 QUEEN CITY PKWY STE A, GAINESVILLE, GA 30501-4366
- **Practice address phone:** (678) 769-3233
- **Practice address fax:** (470) 290-5419
- **Mailing address:** 747 QUEEN CITY PKWY STE A, GAINESVILLE, GA 30501-4366
- **Mailing address phone:** (678) 769-3233
- **Mailing address fax:** (470) 290-5419

## Taxonomy

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

## Other

- **Enumeration date:** 09/20/2023
- **Last updated:** 02/11/2025