Organization
SUPREME HOME HEALTH CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELMOGIRA ELHILO (OPERATING MANAGER)
(201) 936-3582
Entity
Organization
Contact information
Practice address
66 LINCOLN ST FL 1, EAST ORANGE, NJ 07017-2311
(201) 936-3582
(888) 959-8179
Mailing address
66 LINCOLN ST FL 1, EAST ORANGE, NJ 07017-2311
(201) 936-3582
(888) 959-8179
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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