Supra Cares INC
NPI #1639904428 in El Sobrante, California
Provider Information
- NPI Number
- 1639904428
- Entity Type
- Organization
- Organization Name
- Supra Cares INC
- Primary Specialty
- Home Health
- Enumeration Date
- Sep 3, 2024
- Last Updated
- Apr 3, 2025
Practice Location
- Address
- 3980 SAN PABLO DAM RD STE 101
- City
- El Sobrante
- State
- California
- ZIP Code
- 94803-2816
- Phone
- (510) 775-5670
Authorized Official
- Name
- SUJAN GAUTAM, FNP
- Title
- ADMINISTRATOR
- Phone
- (318) 243-5254
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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