Organization
SUPREME HOME HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEAL TEMBO BSC. BUSINESS/NURSE (MANAGER)
(510) 205-5422
Entity
Organization
Contact information
Practice address
694 MERRIMACK ST, LOWELL, MA 01854-3915
(510) 205-5422
(978) 667-9742
Mailing address
694 MERRIMACK ST, LOWELL, MA 01854-3915
(510) 205-5422
(978) 667-9742
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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