# SUPREME MEMORY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770039166
- **Authorized official:** ELIZABETH WILLIAMS (DIRECTOR)
- **Authorized official phone:** (832) 282-7363

## Contact information

- **Practice address:** 11750 PADON RD, NEEDVILLE, TX 77461-9681
- **Practice address phone:** (832) 282-7363
- **Mailing address:** 11750 PADON RD, NEEDVILLE, TX 77461-9681
- **Mailing address phone:** (832) 282-7363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | 106501 | TX | Yes |

## Other

- **Enumeration date:** 08/26/2016
- **Last updated:** 08/26/2016