Supreme LLC

NPI #1003182155 in Washington, District of Columbia

Provider Information

NPI Number: 1003182155
Entity Type: Organization
Organization Name: Supreme LLC
Primary Specialty: Home Health
Enumeration Date: Mar 22, 2012
Last Updated: Mar 22, 2012

Practice Location

Address: 2849 GEORGIA AVE NW
Address 2: SUITE 2
City: Washington
State: District of Columbia
ZIP Code: 20001-5600
Phone: (202) 525-2175

Authorized Official

Name: AGNES MASAWE
Title: PRESIDENT
Phone: (202) 255-2574

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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