NPI 1003588724
Supreme Home Care
Practice location
- Address
- 7620 W Center St STE 201, Milwaukee, WI 53222-5083
- Phone
- (414) 935-2799
- Fax
- (414) 935-2603
Authorised official
- Name
- Nickisha Sims
- Title
- Administrator
- Phone
- (414) 635-7380
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1003588724
- Entity type
- Organization
- NPI issued
- 30 Sep 2021
- Record last updated
- 19 Nov 2024
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.