Organization
SUPREME HOME HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILY B. WINSTON R.N. (C.E.O.)
(318) 323-5489
Entity
Organization
Contact information
Practice address
1110 JACKSON ST, MONROE, LA 71202-2024
(318) 323-5489
(318) 323-8602
Mailing address
PO BOX 3145, MONROE, LA 71210-3145
(318) 323-5489
(318) 323-8602
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
3586
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1660094
PERSONAL CARE ATTENDANT
LA
Enumeration date
10/03/2006
Last updated
03/07/2008
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