Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareSUPREME 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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1110 JACKSON ST MONROE, LA 71202 US
Tel: 318-323-5489 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 311Z00000X | Nursing & Custodial Care Facilities Custodial Care Facility | LA | 3586 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| PERSONAL CARE ATTENDANT | 1660094 | LA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin