| NPI | 1215661186 | 
|---|---|
| Doing Business As | SUPER HOME CARE LLC | 
| Entity Type | Organization | 
| Authorized Contact | MIRLANDE METELLUS Manager 754-249-7149  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251E00000X Home Health | 
| Enumeration Date | 2022-07-14 | 
| Last Update Date | 2022-10-28 |