Organization
SUPREME CARE HOSPICE INC
Active
Other names
Supreme Care Hospice Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY BORDELEAU (CEO)
(602) 881-8170
Entity
Organization
Contact information
Practice address
13201 N 35TH AVE STE B7A, PHOENIX, AZ 85029-1222
(323) 394-8000
Mailing address
13201 N 35TH AVE STE B7A, PHOENIX, AZ 85029-1222
(602) 881-8170
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
02/07/2024
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