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SUPREME HOME HEALTH SERVICES, INC

Custodial Care Facility

Monroe, Louisiana

Provider NPI: 1669566675

Organization Information:
Organization Name:  SUPREME HOME HEALTH SERVICES, INC


Practice Location:
1110 JACKSON ST  MONROE, LA 71202 US
Tel: 318-323-5489  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311Z00000XNursing & Custodial Care Facilities
Custodial Care Facility
LA3586

Other Provider Identifiers:

IssuerNumberStateType
PERSONAL CARE ATTENDANT1660094LA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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