Organization
SUPREME PERSONAL HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MOPELOLA BUNMI ADEBO (ADMINISTRATOR)
(281) 650-0450
Entity
Organization
Contact information
Practice address
7302 CHASEGROVE, RICHMOND, TX 77407
(281) 650-0450
Mailing address
7302 CHASEGROVE LANE, RICHMOND, TX 77469
(281) 238-0502
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
103236
TX
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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