1033617881 SUPREME HOME LLC
Custodial Care Facility
Active
Basic Information
- Organization Name
- SUPREME HOME LLC
- Enumeration Date
- January 26, 2018
- Last Update
- January 26, 2018
- Authorized Official
- MRS. AJOKE OLOHIMA WALKER KOLAWOLE BA, C.N.A
ADMINISTRATOR
Phone: (907) 830-6959
Practice Location
- Address
- 1735 MINERVA WAY
ANCHORAGE, AK 995151490 - Phone
- (907) 334-6468
- Fax
- (907) 868-4670
Mailing Address
- Address
- 1735 MINERVA WAY
ANCHORAGE, AK 995151490 - Phone
- (907) 334-6468
- Fax
- (907) 868-4670
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Assisted Living Facility | N/A | N/A | No |
| Assisted Living Facility (Behavioral Disturbances) Assisted Living, Behavioral Disturbances | 3104A0630X | Assisted Living Facility | N/A | N/A | No |
| Custodial Care Facility | 311Z00000X | Custodial Care Facility | N/A | AK | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1030505 | 05 | AK | N/A |
Frequently Asked Questions
What is SUPREME HOME LLC's NPI number?
SUPREME HOME LLC's NPI number is 1033617881.
Which doctor has NPI number 1033617881?
The doctor with NPI number 1033617881 is SUPREME HOME LLC.
What is SUPREME HOME LLC's practice address?
SUPREME HOME LLC's practice address is 1735 MINERVA WAY, ANCHORAGE, AK, 995151490.
Which doctor practices at 1735 MINERVA WAY, ANCHORAGE, AK, 995151490?
SUPREME HOME LLC practices at 1735 MINERVA WAY, ANCHORAGE, AK, 995151490.
What is SUPREME HOME LLC's phone number?
SUPREME HOME LLC's phone number is (907) 334-6468.
Who is (907) 334-6468?
(907) 334-6468 is the phone number for SUPREME HOME LLC.
What is SUPREME HOME LLC's specialty?
SUPREME HOME LLC's specialty is Custodial Care Facility.
What type of doctor is SUPREME HOME LLC?
SUPREME HOME LLC is a Custodial Care Facility.
Is SUPREME HOME LLC a Custodial Care Facility?
Yes, SUPREME HOME LLC is a Custodial Care Facility.
Is SUPREME HOME LLC still practicing?
Yes, SUPREME HOME LLC is currently practicing.
Is SUPREME HOME LLC accepting new patients?
SUPREME HOME LLC may be accepting new patients. Please call their office at (907) 334-6468 to inquire about availability.
Is NPI 1033617881 still active?
Yes, NPI 1033617881 is currently active.
Where does SUPREME HOME LLC practice?
SUPREME HOME LLC practices in ANCHORAGE, AK.