Organization
SUPREME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR SOLODKY (PRESIDENT)
(646) 709-1191
Entity
Organization
Contact information
Practice address
2559 AMBER ST, PHILADELPHIA, PA 19125-1767
(646) 709-1191
Mailing address
2559 AMBER ST, PHILADELPHIA, PA 19125-1767
(646) 709-1191
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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