Supreme Living Llc

LBN: Supreme Living Llc
Supreme Living Llc is an health care organization with primary practice located at 6604 Martin Way E , Olympia WA 98516. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Supreme Living Llc can be contacted via phone (360) 362-7002, or through Rinaldo, Angela M via phone (360) 639-7002.

Contact Information

Primary practice address
6604 Martin Way E Olympia WA 98516
Phone: (360) 362-7002
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rinaldo, Angela M Master of Arts (MA)
Phone: (360) 639-7002

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1154085181
LBN Legal business name Supreme Living Llc
DBA Doing business as
Authorized official Rinaldo, Angela M Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2021
Last updated May 19th, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154085181 NPPES
Washington MEDICAID 2171006

Popular Providers