Organization
SUPREME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA WHITAKER (OWNER)
(757) 292-0926
Entity
Organization
Contact information
Practice address
2924 PARAPET CT, CHESAPEAKE, VA 23323-2418
(757) 292-0926
Mailing address
1120 SIR GAWAINE DR, CHESAPEAKE, VA 23323-2835
(757) 292-0926
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/21/2024
Last updated
11/25/2024
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