Organization
SUPREME CARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICICA D MARTIN (CEO)
(504) 737-7901
Entity
Organization
Contact information
Practice address
7809 AIRLINE DR STE 206, METAIRIE, LA 70003-6440
(504) 737-7901
(504) 737-7903
Mailing address
7809 AIRLINE DR STE 206, METAIRIE, LA 70003-6440
(504) 737-7901
(504) 737-7903
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
6863
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1582450
—
LA
Enumeration date
02/28/2007
Last updated
08/22/2020
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