Whalio Doctors

NPI 1013886779

Supreme Wellcare LLC

Organisation Home Health Agency Lawrenceville, GA

Practice location

Address
161 Gates Mill Dr, Lawrenceville, GA 30045-7190
Phone
(678) 886-9604

Authorised official

Name
Fidelis Aigbadon
Title
Owner
Phone
(678) 886-9604

Registered specialties (2)

Home Health Agency Primary
Agencies Taxonomy 251E00000X
In Home Supportive Care Agency
Agencies Taxonomy 253Z00000X

Registry record

NPI
1013886779
Entity type
Organization
NPI issued
31 Oct 2025
Record last updated
31 Oct 2025

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.