Supreme Care Servicesllc
NPI #1104792183 in Hyattsville, Maryland
Provider Information
- NPI Number
- 1104792183
- Entity Type
- Organization
- Organization Name
- Supreme Care Servicesllc
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Oct 15, 2025
- Last Updated
- Dec 8, 2025
Practice Location
- Address
- 4738 68TH AVE
- City
- Hyattsville
- State
- Maryland
- ZIP Code
- 20784-1400
- Phone
- (301) 814-1509
Authorized Official
- Name
- KORPO KOLLIE JOHNSON, NURSE
- Title
- PRESIDENT
- Phone
- (301) 814-1509
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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