Provider Demographics
NPI:1770952723
Name:SUPPLIMENTAL HEALTH CARE
Entity type:Organization
Organization Name:SUPPLIMENTAL HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFFING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMETER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-317-0494
Mailing Address - Street 1:29 THUNDER RD
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JCT
Mailing Address - State:NY
Mailing Address - Zip Code:12533-5274
Mailing Address - Country:US
Mailing Address - Phone:845-238-7783
Mailing Address - Fax:
Practice Address - Street 1:29 THUNDER RD
Practice Address - Street 2:
Practice Address - City:HOPEWELL JCT
Practice Address - State:NY
Practice Address - Zip Code:12533-5274
Practice Address - Country:US
Practice Address - Phone:845-238-7783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-21
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025128235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty