Organization
SUPREME CARE KING SERVICES HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE RODRIGUEZ (PRESIDENT)
(347) 755-8717
Entity
Organization
Contact information
Practice address
3310 CARBON ST APT 75, WHITEHALL, PA 18052-3021
(347) 755-8717
Mailing address
3310 CARBON ST APT 75, WHITEHALL, PA 18052-3021
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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