Organization
ESL SUPREME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANTZ BERTHIE SUPREME VAL (CO-EXECUTIVE DIRECTOR)
(407) 946-1009
Entity
Organization
Contact information
Practice address
365 WESTGATE DR UNIT 7/8, BROCKTON, MA 02301-1822
(646) 470-9456
Mailing address
365 WESTGATE DR UNIT 7/8, BROCKTON, MA 02301-1822
(646) 470-9456
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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