Organization · Type 2 NPI
Supreme Residential Care, LLC
Assisted Living Facility · Durham, NC
NPI number
1245013580
Active
Practice location
315 Roche Dr
Durham, NC 27703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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About NPI 1245013580
Supreme Residential Care, LLC's National Provider Identifier is 1245013580, issued on Aug 18, 2023. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Durham, NC. The record was last updated on Aug 18, 2023.