Organization
SUPREME HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICKISHA SIMS (ADMINISTRATOR)
(414) 635-7380
Entity
Organization
Contact information
Practice address
7620 W CENTER ST STE 201, MILWAUKEE, WI 53222-5083
(414) 935-2799
(414) 935-2603
Mailing address
7620 W CENTER ST STE 201, MILWAUKEE, WI 53222-5083
(414) 935-2799
(414) 935-2603
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/30/2021
Last updated
11/19/2024
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