| NPI | 1104519982 |
|---|---|
| Former Legal Business Name | SUPREME CAPITAL INVESTING |
| Entity Type | Organization |
| Authorized Contact | YAHNICK MARTIN Owner 347-278-9784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2024-06-05 |