Organization
SUPREME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADENIKE OSHIN RN (ADMINISTRATOR)
(708) 275-0928
Entity
Organization
Contact information
Practice address
575 N FALLS CIR, PINGREE GROVE, IL 60140-5438
(708) 275-0928
Mailing address
575 N FALLS CIR, PINGREE GROVE, IL 60140-5438
(708) 275-0928
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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