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Organization

SUPREME HEALTHCARE SERVICES LLC.

Active
Other names
Supreme Healthcare Services LLC.
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL TEMBO (PRESIDENT)
(978) 970-5545
Entity
Organization

Contact information

Practice address
694 MERRIMACK ST UNIT A, LOWELL, MA 01854-3915
(978) 970-5545
(978) 970-0006
Mailing address
694 MERRIMACK ST UNIT A, LOWELL, MA 01854-3915
(978) 970-5545
(978) 970-0006

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
251J00000X
Nursing Care Agency
343900000X
Non-emergency Medical Transport (VAN)
Primary
347C00000X
Private Vehicle

Other

Enumeration date
10/23/2021
Last updated
10/23/2021
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