| NPI | 1902166358 |
|---|---|
| Other Name | SUPREME |
| Entity Type | Organization |
| Authorized Contact | JASMINE JAMEASHA FOREMAN Home Health Aide 202-423-0787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2012-05-19 |
| Last Update Date | 2012-05-19 |