Supreme Healthcare Agency LLC
NPI #1639661317 in Willoughby, Ohio
Provider Information
- NPI Number
- 1639661317
- Entity Type
- Organization
- Organization Name
- Supreme Healthcare Agency LLC
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- May 30, 2018
- Last Updated
- May 30, 2018
Practice Location
- Address
- 38335 TAMARAC BLVD APT 220
- City
- Willoughby
- State
- Ohio
- ZIP Code
- 44094-8195
- Phone
- (440) 521-2276
Authorized Official
- Name
- MRS. TINA M CAMPBELL-RASBERRY, RN
- Title
- CEO
- Phone
- (440) 521-2276
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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