Whalio Doctors

NPI 1003082421

Supreme Home Health Services INC

Organisation Custodial Care Facility Monroe, LA

Practice location

Address
1110 Jackson St, Monroe, LA 71202-2024
Phone
(318) 323-5489
Fax
(318) 323-8602
Mailing address
1110 Jackson St PO Box 3145, Monroe, LA 71202-2024

Authorised official

Name
Emily B Winston
Title
Administrator
Phone
(318) 323-5489

Registered specialties

Custodial Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence 3586 (LA)

Registry record

NPI
1003082421
Entity type
Organization
NPI issued
6 May 2008
Record last updated
6 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.