Organization
SUPREME HOME HEALTH AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GALEN GONZALEZ (PRESIDENT)
(951) 972-3038
Entity
Organization
Contact information
Practice address
28924 OLD TOWN FRONT ST STE 108, TEMECULA, CA 92590-2857
(951) 972-3038
(951) 541-2658
Mailing address
28924 OLD TOWN FRONT ST STE 108, TEMECULA, CA 92590-2857
(951) 972-3038
(951) 541-2658
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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