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Organization

SUPREME 6 LLC

Active
Other names
Bynum6 Care Home
Organization subpart
No

Provider details

NPI number
Authorized official
VERONICA DENISE DAYS (VICE PRESIDENT)
(980) 417-1537
Entity
Organization

Contact information

Practice address
3800 COOPERSDALE RD, CHARLOTTE, NC 28273-3746
(704) 999-8926
Mailing address
3800 COOPERSDALE RD, CHARLOTTE, NC 28273-3746
(704) 999-8926

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
05/09/2021
Last updated
05/16/2022
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