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Organization

SUPREME HELPERS HEALTHCARE CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN O MADOJEMU MIS, MS, PHD (C) (PRESIDENT/CEO)
(757) 220-2190
Entity
Organization

Contact information

Practice address
1761 JAMESTOWN ROAD, SUITE 103, WILLIAMSBURG, VA 23185-0000
(757) 220-2190
(757) 220-2191
Mailing address
1761 JAMESTOWN RD, SUITE 103, WILLIAMSBURG, VA 23185-2336
(757) 220-2190
(757) 220-2191

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
385H00000X
Respite Care
Primary

Other

Enumeration date
09/04/2012
Last updated
10/03/2012
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