NPI 1003182155
Supreme LLC
Practice location
- Address
- 2849 Georgia Ave NW Suite 2, Washington, DC 20001-5600
- Phone
- (202) 525-2175
- Fax
- (202) 525-2177
Authorised official
- Name
- Agnes Masawe
- Title
- President
- Phone
- (202) 255-2574
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1003182155
- Entity type
- Organization
- NPI issued
- 22 Mar 2012
- Record last updated
- 22 Mar 2012
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.