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Organization

SUPREME HOME HEALTH CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL KENNETH WINFREE (CHIEF EXECUTIVE OFFICER)
(347) 234-0807
Entity
Organization

Contact information

Practice address
1405 EXCEL DR, KILLEEN, TX 76542-6313
(254) 345-1953
Mailing address
1405 EXCEL DR, KILLEEN, TX 76542-6313
(347) 234-0807

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
3747P1801X
Personal Care Attendant
Primary
376J00000X
Homemaker

Other

Enumeration date
08/28/2021
Last updated
06/06/2022
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