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Organization

SUPREME HOME HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MOHAMED FOFANAH (GOVERNING BODY CHAIRPERSON)
(614) 929-1931
Entity
Organization

Contact information

Practice address
20 OSWEGO LN, READING, PA 19605-7018
(484) 769-5070
Mailing address
20 OSWEGO LN, READING, PA 19605-7018
(484) 769-5070

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251J00000X
Nursing Care Agency
251S00000X
Community/Behavioral Health Agency
3245S0500X
Children's Substance Abuse Rehabilitation Facility

Other

Enumeration date
06/19/2025
Last updated
06/19/2025
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