Organization
SUPREME HOME HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EMILY B WINSTON RN (ADMINISTRATOR)
(318) 323-5489
Entity
Organization
Contact information
Practice address
1110 JACKSON ST, MONROE, LA 71202-2024
(318) 323-5489
(318) 323-8602
Mailing address
1110 JACKSON ST, PO BOX 3145, MONROE, LA 71202-2024
(318) 323-5489
(318) 323-8602
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
3586
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1462233
—
LA
Enumeration date
05/06/2008
Last updated
05/06/2008
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