| NPI | 1639904428 |
|---|---|
| Doing Business As | SUPRA CARES HOME HEALTH |
| Entity Type | Organization |
| Authorized Contact | SUJAN GAUTAM Administrator 318-243-5254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-09-03 |