Supreme Team LLC
Supreme Team LLC is a Custodial Care Facility in Augusta, Georgia. Licensed in Georgia. Registered with an NPI since 2012.
- Licensed in
- GA
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1520 12th StAugusta, GA 30901-3676
Phone: (706) 364-4710
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 (GA) |
|---|
Record details
| NPI number | 1912261231 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Caletha Taylor — Manager · (706) 951-7514 |
| Other names | Longevity Personal Care Home |
| NPI enumerated | July 2, 2012 |
| Last updated in NPPES | July 2, 2012 |
| Mailing address | 5327 Windmill Pkwy, Evans, GA 30809-6651 |
Other providers in Augusta
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Chizik Enterprises International, LLC
1609 Greenway Dr, Augusta, GA 30909-4321 · (404) 937-9669
-
Iris Cove Personal Care Home
2382 Wheeless Rd, Augusta, GA 30906-5404 · (706) 723-5949