| Supreme Health Care Inc | |
|
5701 Kentucky Ave N Suite 198 Crystal MN 55428-3370 | |
| (763) 516-7236 | |
| (763) 533-1659 |
| Full Name | Supreme Health Care Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5701 Kentucky Ave N, Crystal, Minnesota |
| Authorized Official Name and Position | Zinnah Kollie Chesson (OWNER) |
| Authorized Official Contact | 7635167236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supreme Health Care Inc 5701 Kentucky Ave N Suite 198 Crystal MN 55428-3370 Ph: (763) 516-7236 | Supreme Health Care Inc 5701 Kentucky Ave N Suite 198 Crystal MN 55428-3370 Ph: (763) 516-7236 |
| NPI Number | 1922421841 |
|---|---|
| Provider Enumeration Date | 01/29/2014 |
| Last Update Date | 01/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922421841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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