# PA PREMIER SERVICE COORDINATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083575617
- **Authorized official:** LEIDY DAHLIA PICHARDO BA (CEO)
- **Authorized official phone:** (347) 589-5671

## Contact information

- **Practice address:** 515 MAIN ST, HARRISBURG, PA 17113-2712
- **Practice address phone:** (347) 589-5671
- **Mailing address:** 515 MAIN ST, HARRISBURG, PA 17113-2712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 11/21/2025
- **Last updated:** 11/21/2025