Organization
SUPREME MANAGEMENT AND ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL FORRIE FLACK (CEO)
(704) 291-0518
Entity
Organization
Contact information
Practice address
107 1/2 W CHEROKEE ST, BLACKSBURG, SC 29702-1501
(864) 492-3400
Mailing address
107 1/2 W CHEROKEE ST, BLACKSBURG, SC 29702-1501
(864) 492-3400
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/30/2018
Last updated
02/13/2019
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