NPI 1013886779
Supreme Wellcare LLC
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
In Home Supportive Care Agency
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.