| Supreme Healthcare & Wellness Services Llc | |
|
12401 Middlebrook Rd Ste 190 Germantown MD 20874-1521 | |
| (240) 476-2106 | |
| (877) 775-1766 |
| Full Name | Supreme Healthcare & Wellness Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12401 Middlebrook Rd Ste 190, Germantown, Maryland |
| Authorized Official Name and Position | Judith Akoh-arrey (PROVIDER) |
| Authorized Official Contact | 2404326971 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Supreme Healthcare & Wellness Services Llc 12401 Middlebrook Rd Ste 190 Germantown MD 20874-1521 Ph: (855) 208-0890 | Supreme Healthcare & Wellness Services Llc 12401 Middlebrook Rd Ste 190 Germantown MD 20874-1521 Ph: (240) 476-2106 |
| NPI Number | 1215670047 |
|---|---|
| Provider Enumeration Date | 04/19/2022 |
| Last Update Date | 08/29/2022 |
| Certification Date | 08/29/2022 |
| Medicare PECOS PAC ID | 5799161790 |
|---|---|
| Medicare Enrollment ID | O20220928002282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215670047 | NPI | - | NPPES |
| Provider Name | Habibatu Kemoh Sesay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043852023 PECOS PAC ID: 0547683260 Enrollment ID: I20201020002726 |
| Provider Name | Judith Besem Akoh-arrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699336651 PECOS PAC ID: 5698930139 Enrollment ID: I20210323000094 |
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