<Unavail>

LBN: Supreme Investments,Llc
<Unavail> is an health care organization with primary practice located at 2407 Grace Ave Ste 4-5, New Bern NC 28562-4416. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Supreme Investments,Llc can be contacted via phone (252) 772-2304, or through Williams, Nikisha via phone (252) 523-1100.

Contact Information

Primary practice address
2407 Grace Ave Ste 4-5 New Bern NC 28562-4416
Phone: (252) 772-2304
Fax: (252) 523-1101
Website:
Map and Directions
Authorized official contact:
Name: Williams, Nikisha
Phone: (252) 523-1100

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1093089583
LBN Legal business name Supreme Investments,Llc
DBA Doing business as <Unavail>
Authorized official Williams, Nikisha
Entity Organization
Organization subpart 1 No
Enumeration date Feb 29th, 2012
Last updated Feb 29th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093089583 NPPES
North Carolina MEDICAID 3418755

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