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1891294153
SUPREME HOME LLC
ANCHORAGE, AK
NPI
1891294153
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Entity Type
Organization
Authorized Contact
AJOKE OLOHIMA KOLAWOLE
Administrator
907-830-6959
Organization Subpart ?
No
Primary Taxonomy
311Z00000X Custodial Care Facility
Enumeration Date
2018-02-01
Last Update Date
2018-02-05
Business Address
SUPREME HOME LLC
2600A BRYANT CIR
ANCHORAGE, AK 99507-3252
Phone number: 907-929-1141
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Mailing Address
SUPREME HOME LLC
2600 A BRYANT CIRCLE P.O BOX 142764
ANCHORAGE, AK 99514-2764
Phone number: 907-929-1141
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