Organization
SUPREME HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE CAREY RILEY (CHIEF ADMINISTRATOR)
(504) 340-9313
Entity
Organization
Contact information
Practice address
2010 WOODMERE BLVD, STE B, HARVEY, LA 70058-2286
(504) 340-9313
(504) 340-9314
Mailing address
2010 WOODMERE BLVD, STE B, HARVEY, LA 70058
(504) 340-9313
(504) 340-9314
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
PCA15107
LA
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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