Organization
SUPREME HEALTHCARE SERVICES, LLC
Active
Organization
SUPREME HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RESIKAT AFOLAKE AFOLABI RN (DIRECTOR OF NURSING)
(240) 449-9174
Entity
Organization
Contact information
Practice address
7608 GEORGIAN DR, UPPER MARLBORO, MD 20772-4496
(240) 449-9174
Mailing address
7608 GEORGIAN DR, UPPER MARLBORO, MD 20772-4496
(240) 449-9174
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
R3590P
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R3590P
RESIDENTIAL SERVICE AGENCY
MD
Enumeration date
06/19/2014
Last updated
08/04/2014
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