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1063021939
SUPREME HEALTHCARE SERVICES LLC
FORT MILL, SC
NPI
1063021939
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Entity Type
Organization
Authorized Contact
JADA PARKS
Owner
908-875-5726
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-07-27
Last Update Date
2020-07-27
Business Address
SUPREME HEALTHCARE SERVICES LLC
150 BW THOMAS DR
FORT MILL, SC 29708-7230
Phone number: 908-875-5726
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Mailing Address
SUPREME HEALTHCARE SERVICES LLC
2903 FAIRGLEN RD
CHARLOTTE, NC 28269-5410
Phone number: 908-875-5726
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