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Organization
PREMIERCARE @HOME LLC
Active
Organization
PREMIERCARE @HOME LLC
Active
Other names
PremierCare atHome LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GWENDOLYN MCDANIEL (OWNERD)
(229) 288-2638
Entity
Organization
Contact information
Practice address
302 N WESTBERRY ST, SYLVESTER, GA 31791-2125
(229) 288-2638
Mailing address
302 N WESTBERRY ST, SYLVESTER, GA 31791-2125
(229) 288-2638
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
159-R-1694
GA
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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