Organization
SUPREME HOME HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERYL HEFFERNAN REGISTERED NURSE (DIRECTOR OF NURSING)
(201) 372-9600
Entity
Organization
Contact information
Practice address
71 UNION AVE, SUITE 207A, RUTHERFORD, NJ 07070-1274
(201) 372-9600
(201) 372-9550
Mailing address
71 UNION AVENUE, SUITE 207A, RUTHERFORD, NJ 07070
(201) 372-9600
(201) 372-9550
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HP0123200
NJ
253Z00000X
In Home Supportive Care Agency
HP0123200
NJ
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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