Provider Demographics
NPI:1447490677
Name:SUPREME STAFFING&DIET CONSULTANTS
Entity type:Organization
Organization Name:SUPREME STAFFING&DIET CONSULTANTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:TOLANI
Authorized Official - Middle Name:LAOYE
Authorized Official - Last Name:RUFAI
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:202-319-1231
Mailing Address - Street 1:1730 CONNECTICUT AVE NW
Mailing Address - Street 2:SUITE3B
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-1166
Mailing Address - Country:US
Mailing Address - Phone:202-319-1231
Mailing Address - Fax:202-319-1441
Practice Address - Street 1:1730 CONNECTICUT AVE NW
Practice Address - Street 2:SUITE3B
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-1166
Practice Address - Country:US
Practice Address - Phone:202-319-1231
Practice Address - Fax:202-319-1441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-27
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNU111251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare