Organization
SUPREME CARE II LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA ALLEN MARTIN (OWNER)
(504) 737-7901
Entity
Organization
Contact information
Practice address
15622 RIVER RD, STE. 1, NORCO, LA 70079-2284
(504) 737-7901
(504) 737-7903
Mailing address
15622 RIVER RD, STE. 1, NORCO, LA 70079-2284
(504) 737-7901
(504) 737-7903
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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