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Organization
PREMIER INDEPENDENT QUALITY SERVICES
Active
Organization
PREMIER INDEPENDENT QUALITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA EVANS (EXECUTIVE DIRECTOR)
(937) 528-1027
Entity
Organization
Contact information
Practice address
111 SOUTH BROADWAY STREET, DAYTON, OH 45402
(937) 528-1027
Mailing address
111 SOUTH BROADWAY STREET, DAYTON, OH 45402
(937) 528-1027
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
52793274
OH
343900000X
Non-emergency Medical Transport (VAN)
RU426244
OH
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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