NPI 1649420852

Supreme Home Care LLC

Organisation Exclusive Provider Organization Harvey, LA

Practice location

Address: 2010 Woodmere Blvd STE B, Harvey, LA 70058
Phone: (504) 340-9313
Fax: (504) 340-9314

Authorised official

Name: Denise Carey Riley
Title: Chief Administrator
Phone: (504) 340-9313

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence SIL20096 (LA)

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Registry record

NPI: 1649420852
Entity type: Organization
NPI issued: 24 Sep 2008
Record last updated: 24 Sep 2008

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.