Provider Demographics
NPI:1083181952
Name:LAMBERT SUPREME SERVICES CORP
Entity Type:Organization
Organization Name:LAMBERT SUPREME SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OSMEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MATOS LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:786-436-6302
Mailing Address - Street 1:5580 W 16TH AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-2189
Mailing Address - Country:US
Mailing Address - Phone:786-436-6302
Mailing Address - Fax:305-967-8442
Practice Address - Street 1:5580 W 16TH AVE STE 201
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-2189
Practice Address - Country:US
Practice Address - Phone:786-436-6302
Practice Address - Fax:305-967-8442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-30
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care