Organization
SUPREME LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA RINALDO (OWNER & CEO)
(360) 639-7002
Entity
Organization
Contact information
Practice address
6604 MARTIN WAY E, OLYMPIA, WA 98516
(360) 639-7002
Mailing address
6604 MARTIN WAY E, OLYMPIA, WA 98516
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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