Organization
SUPREME INVESTMENTS, LLC.
Active
Other names
SUPREME CHOICE HEALTH CARE
Organization subpart
No
Provider details
NPI number
Authorized official
NIKISHA WILLIAMS (AGENCY DIRECTOR)
(252) 523-1100
Entity
Organization
Contact information
Practice address
1100 HARDEE RD, SUITE 103 C, KINSTON, NC 28504-2529
(252) 523-1100
(252) 523-1101
Mailing address
1100 HARDEE RD, SUITE 103 C, KINSTON, NC 28504-2529
(252) 523-1100
(252) 523-1101
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8702079
—
NC
Enumeration date
12/08/2010
Last updated
12/08/2010
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