NPI 1871864124

Supreme Healthcare Services, LLC

Organisation Custodial Care Facility Washington, DC

Practice location

Address: 4611 Clay St NE, Washington, DC 20019-4663
Phone: (240) 357-8763
Fax: (240) 863-3313
Mailing address: 6475 New Hampshire Ave Suite 315, Hyattsville, MD 20783-3282

Authorised official

Name: Ganiyat Funmi Efuntoye
Title: President/Ceo
Phone: (240) 357-8763

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X

Other Custodial Care Facility providers in District of Columbia →

Registry record

NPI: 1871864124
Entity type: Organization
NPI issued: 18 Jan 2012
Record last updated: 11 May 2017

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.