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Organization

SUPREME CARE ADULT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. EVETTE Y HUNTER (DIRECTOR)
(214) 554-1569
Entity
Organization

Contact information

Practice address
4033 SHILLING WAY, DALLAS, TX 75237-1009
(214) 554-1569
Mailing address
4033 SHILLING WAY, DALLAS, TX 75237-1009
(214) 554-1569

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
TX

Other

Enumeration date
12/09/2014
Last updated
12/09/2014
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