# PREMIERCARE @HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PremierCare atHome LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083157440
- **Authorized official:** MRS. GWENDOLYN MCDANIEL (OWNERD)
- **Authorized official phone:** (229) 288-2638

## Contact information

- **Practice address:** 302 N WESTBERRY ST, SYLVESTER, GA 31791-2125
- **Practice address phone:** (229) 288-2638
- **Mailing address:** 302 N WESTBERRY ST, SYLVESTER, GA 31791-2125
- **Mailing address phone:** (229) 288-2638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 159-R-1694 | GA | Yes |

## Other

- **Enumeration date:** 12/02/2016
- **Last updated:** 12/02/2016