Supreme Home LLC
Supreme Home LLC is a Custodial Care Facility in Anchorage, Alaska. Licensed in Alaska. Registered with an NPI since 2018.
- Licensed in
- AK
- In the registry since
- 2018
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2600A Bryant CirAnchorage, AK 99507-3252
Phone: (907) 929-1141
Fax: (907) 868-4670
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Custodial Care Facility (primary) | Taxonomy 311Z00000X (AK) |
|---|
Record details
| NPI number | 1891294153 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ajoke Kolawole — Administrator · (907) 830-6959 |
| NPI enumerated | February 1, 2018 |
| Last updated in NPPES | February 5, 2018 |
| Mailing address | 2600 A Bryant Circle, P.O Box 142764, Anchorage, AK 99514-2764 |
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