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Medicl Facility ID: 10112475585417227505

Facility Business Name: SUPREME HOME HEALTH AGENCY INC ( RIVERSIDE, CA )

A list of all facilities registered with Medicare that includes addresses and phone numbers.

Field Name Field Value
Facility Id10112475585417227505
Facility NameSUPREME HOME HEALTH AGENCY INC
Address Line7177 BROCKTON AVE., SUITE 451
CityRIVERSIDE
StateCA
Zip92506
Phone951-972-3038
TypeHome Health
CMS Certification Number059566