Supreme Home LLC
NPI #1891294153 in Anchorage, Alaska
Provider Information
- NPI Number
- 1891294153
- Entity Type
- Organization
- Organization Name
- Supreme Home LLC
- Primary Specialty
- Custodial Care Facility
- Enumeration Date
- Feb 1, 2018
- Last Updated
- Feb 5, 2018
Practice Location
Authorized Official
- Name
- MRS. AJOKE OLOHIMA KOLAWOLE, B.A., CNA
- Title
- ADMINISTRATOR
- Phone
- (907) 830-6959
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility |
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