| NPI | 1689337297 |
|---|---|
| Former Legal Business Name | SUPREME CARE HOSPICE INC |
| Entity Type | Organization |
| Authorized Contact | JERRY BORDELEAU CEO 602-881-8170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2024-02-07 |