Supreme Memory Care LLC
Organization Active NPI Alzheimer Center (Dementia Center) · Needville, TX
NPI 1770039166 · NPPES record last updated Aug 26, 2016
Key facts
- NPI
- 1770039166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Alzheimer Center (Dementia Center) 311500000X
- License
- 106501 (TX)
- Legal business name
- SUPREME MEMORY CARE LLC
- Practice address
- 11750 Padon Rd
Needville, TX 77461-9681 - Phone
- (832) 282-7363
- NPI assigned
- Aug 26, 2016
- Organization subpart
- No
Authorized official
- Name
- Elizabeth Williams
- Title
- Director
- Phone
- (832) 282-7363
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Alzheimer Center (Dementia Center) | 311500000X | 106501 | TX | Yes |
Addresses
Primary practice location
11750 Padon Rd
Needville, TX 77461-9681
Mailing address
11750 Padon Rd
Needville, TX 77461-9681
Phone (832) 282-7363
Other providers in Needville, TX
- Solacium Fulshear, LLC
- Solacium Fulshear, LLC
- South Texas Medical Clinics, P.a.
- Dawnyelle M Springs
- Chaille Sulak
- Tiffany Svatek
- Cameron Cadence Terry
- Mercedes Thompson
- Lacey Torres
- Kimberly Ullmann
All providers in Needville, TX · Alzheimer Center (Dementia Center) in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.