SUPREME HOME CARE PROVIDER, LLC

GOLDEN VALLEY, MN
NPI1427328780
Entity TypeOrganization
Authorized ContactHASSAN OSMAN YUSUF
Owner/Manager
763-710-9907
Organization Subpart ?No
Primary Taxonomy251E00000X Home Health
Enumeration Date2012-01-04
Last Update Date2015-05-22
Business Address
SUPREME HOME CARE PROVIDER, LLC
1710 DOUGLAS DR N STE 277
GOLDEN VALLEY, MN 55422-4344
Phone number: 763-710-9907
Mailing Address
SUPREME HOME CARE PROVIDER, LLC
1710 DOUGLAS DR N STE 277
GOLDEN VALLEY, MN 55422-4344
Phone number: 763-710-9907
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