Organization
SUPREME MEMORY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH WILLIAMS (DIRECTOR)
(832) 282-7363
Entity
Organization
Contact information
Practice address
11750 PADON RD, NEEDVILLE, TX 77461-9681
(832) 282-7363
Mailing address
11750 PADON RD, NEEDVILLE, TX 77461-9681
(832) 282-7363
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
106501
TX
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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