NPI 1073322459

Supreme Care Dks, LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Richmond, VA

Practice location

Address: 3903 Genacre Ln, Richmond, VA 23222-1731
Phone: (804) 687-9427
Fax: (804) 486-6620

Authorised official

Name: Katrina S Samuels
Title: Owner
Phone: (804) 687-9427

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Virginia →

Registry record

NPI: 1073322459
Entity type: Organization
NPI issued: 31 Dec 2024
Record last updated: 31 Dec 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.