Organization
SUPREME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIUS AJAYI (AGENCY DIRECTOR)
(919) 225-2056
Entity
Organization
Contact information
Practice address
4307 WESTERN PARK PL, SUITE 205-A, DURHAM, NC 27705-1224
(919) 225-2056
Mailing address
3004 FORRESTAL DR, DURHAM, NC 27703-4780
(919) 225-2056
(919) 287-2733
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC4439
NC
Other
Enumeration date
09/10/2011
Last updated
11/21/2014
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