Organization
SUPREME HOME HEALTH CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKECIA GRAY (EXECUTIVE DIRECTOR)
(314) 395-8989
Entity
Organization
Contact information
Practice address
3191 ASHBY RD STE 3, SAINT ANN, MO 63074-3805
(314) 395-8989
(314) 395-1876
Mailing address
3191 ASHBY RD STE 3, SAINT ANN, MO 63074-3805
(314) 395-8989
(314) 395-1876
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/01/2018
Last updated
02/19/2025
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