Organization
SUPREME HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE CAREY RILEY (CHIEF ADMINISTRATOR)
(504) 340-9313
Entity
Organization
Contact information
Practice address
2010 WOODMERE BLVD STE B, HARVEY, LA 70058-2286
(504) 340-9313
Mailing address
2010 WOODMERE BLVD STE B, HARVEY, LA 70058-2286
(504) 340-9313
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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