Organization
SUPREME CARE SERVICESLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORPO KOLLIE JOHNSON (OWNER)
(301) 814-1509
Entity
Organization
Contact information
Practice address
4738 68TH AVE, HYATTSVILLE, MD 20784-1400
(301) 814-1509
Mailing address
4738 68TH AVE, HYATTSVILLE, MD 20784-1400
(301) 814-1509
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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