# SUPREME FAMILY SERVICES, INC.

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

## Provider details

- **NPI number:** 1932614021
- **Authorized official:** TAMARA GARRIS LPN (ADMINISTRATOR)
- **Authorized official phone:** (704) 294-5100

## Contact information

- **Practice address:** 207 S PARK RD, WADESBORO, NC 28170-2417
- **Practice address phone:** (704) 294-5100
- **Mailing address:** 670 AIRPORT RD, WADESBORO, NC 28170-5267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/11/2017
- **Last updated:** 12/11/2017