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SUPREME HEALTHCARE SERVICES, LLC

Custodial Care Facility

Washington, District Of Columbia

Provider NPI: 1871864124

Organization Information:
Organization Name:  SUPREME HEALTHCARE SERVICES, LLC


Practice Location:
4611 CLAY ST NE  WASHINGTON, DC 20019 US
Tel: 240-357-8763  Fax: --

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


Taxonomy:

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

Other Provider Identifiers:

IssuerNumberStateType
057293200DC05
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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