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Organization
SUPREME HEALTH CARE INC
Active
Organization
SUPREME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZINNAH KOLLIE CHESSON (OWNER)
(763) 516-7236
Entity
Organization
Contact information
Practice address
5701 KENTUCKY AVE N, SUITE 198, CRYSTAL, MN 55428-3370
(763) 516-7236
(763) 533-1659
Mailing address
5701 KENTUCKY AVE N, SUITE 198, CRYSTAL, MN 55428-3370
(763) 516-7236
(763) 533-1659
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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