Organization
SUPREME HEALTH CARE LLC
Active
Other names
SUPREME HEALTH CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AGYEMAN MANU-DAPAAH (OWNER)
(314) 313-8456
Entity
Organization
Contact information
Practice address
161 BOARDWALK GARDENS DR, O FALLON, MO 63368-3915
(314) 314-3219
Mailing address
161 BOARDWALK GARDENS DR, O FALLON, MO 63368-3915
(314) 680-9471
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
11/12/2016
Last updated
05/11/2021
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