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 |