Supreme Care
NPI #1205331915 in College Park, Maryland
Provider Information
- NPI Number
- 1205331915
- Entity Type
- Organization
- Organization Name
- Supreme Care
- Primary Specialty
- Home Health Aide
- Enumeration Date
- Mar 26, 2018
- Last Updated
- Mar 26, 2018
Practice Location
- Address
- 4920 NIAGARA RD STE 406
- City
- College Park
- State
- Maryland
- ZIP Code
- 20740-1166
- Phone
- (614) 929-1931
Authorized Official
- Name
- MR. MOHAMED BABA FOFANAH, ASP, OHST
- Title
- OWNER/DIRECTOR
- Phone
- (614) 929-1931
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health Aide |
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