institution
Supreme Intervention Center
Adult Day Care Clinic/Center in Monroe, Louisiana
NPI 1154428373

Supreme Intervention Center is an Adult Day Care Clinic/Center based in Monroe, LA and is specialized in Adult Day Care. Supreme Intervention Center practices in Monroe, LA. The NPI Number for Supreme Intervention Center is 1154428373 and holds a License No. 2500 (Louisiana).

The current practice location address for Supreme Intervention Center is 1114 Jackson St, Monroe, LA and can be reached out via phone at 318-323-4710 and via fax at 318-323-3855.

Location: 1114 Jackson St, Monroe, LA, 71210-3141
institution
Provider Profile Details
NPI Number
1154428373
Provider Name
Supreme Intervention Center
Credential
Provider Entity Type
Organization
Address
1114 Jackson St, Monroe, LA, 71210-3141
Phone Number
318-323-4710
Fax Number
318-323-3855
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1627836 01 LA ADULT DAY HEALTH CARE
institution
Provider Business Practice Location Address Details
Address
1114 Jackson St
City
State
Zip
71202-2024
Phone Number
318-323-4710
Fax Number
318-323-3855
person
Provider Business Mailing Address Details
Address
1114 Jackson St
City
State
Zip
71202-2024
Phone Number
318-323-4710
Fax Number
318-323-3855
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
License No.
2500 (Louisiana)
Definition
Definition to come...
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