Organization
SUPREME COMPASSIONATE CARE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SETH JEREMIAH WASHINGTON (DIRECTOR)
(743) 900-2183
Entity
Organization
Contact information
Practice address
1922 S MLK JR DR STE 235, WINSTON SALEM, NC 27107-1361
(336) 777-8222
Mailing address
1922 S MLK JR DR STE 235, WINSTON SALEM, NC 27107-1361
(336) 777-8222
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
12/19/2024
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