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Organization

SUPREME CONSULTANTS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HERNOLDE GUSTAVO ESTRADA (CEO)
(201) 372-9600
Entity
Organization

Contact information

Practice address
71 UNION AVE STE 207, RUTHERFORD, NJ 07070-1272
(201) 372-9600
(201) 372-9600
Mailing address
71 UNION AVE STE 207, RUTHERFORD, NJ 07070-1272
(201) 372-9600
(201) 372-9600

Taxonomy

Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary

Other

Enumeration date
07/01/2025
Last updated
08/11/2025
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