Organization
SUPREME S&S CARE DKS, LLC
Active
Parent organization
SUPREME CARE DKS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUPREME CARE DKS, LLC
Authorized official
KATRINA SABRINA SAMUELS (OWNER)
(804) 687-9427
Entity
Organization
Contact information
Practice address
2905 SANDY LN, RICHMOND, VA 23223-2119
(804) 869-3732
(804) 486-6620
Mailing address
913 POPLAR COVE WAY, RICHMOND, VA 23223-2150
(804) 687-9427
(804) 486-6620
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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