Provider Demographics
NPI:1407516529
Name:SUPREME TOUCH CARE SERVICES INC
Entity Type:Organization
Organization Name:SUPREME TOUCH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:DUTERTE
Authorized Official - Last Name:ABAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-886-5798
Mailing Address - Street 1:566 W LANCASTER BLVD STE 20
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-2506
Mailing Address - Country:US
Mailing Address - Phone:661-886-5798
Mailing Address - Fax:661-200-7780
Practice Address - Street 1:566 W LANCASTER BLVD STE 20
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2506
Practice Address - Country:US
Practice Address - Phone:661-886-5798
Practice Address - Fax:661-200-7780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-30
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care