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Organization
SUPRA CARES INC
Active
Organization
SUPRA CARES INC
Active
Other names
Supra Cares Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
SUJAN GAUTAM FNP (ADMINISTRATOR)
(318) 243-5254
Entity
Organization
Contact information
Practice address
3980 SAN PABLO DAM RD STE 101, EL SOBRANTE, CA 94803-2816
(510) 775-5670
Mailing address
6224 N ARLINGTON BLVD, SAN PABLO, CA 94806-4276
(318) 243-5254
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
04/03/2025
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