Organization
SUPREME HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY RILEY (ASSISTANT ADMINISTRATOR)
(504) 340-9313
Entity
Organization
Contact information
Practice address
2010 WOODMERE BLVD, SUITE B, HARVEY, LA 70058-2286
(504) 340-9313
(504) 340-9314
Mailing address
2010 WOODMERE BLVD, SUITE B, HARVEY, LA 70058-2286
(504) 340-9313
(504) 340-9314
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
15107
LA
Other
Enumeration date
05/01/2009
Last updated
05/05/2009
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