# PREMIER HEALTHCARE FIRM

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

## Provider details

- **NPI number:** 1093403487
- **Authorized official:** MARK WALLACE (ACCOUNT MANAGER)
- **Authorized official phone:** (703) 546-6626

## Contact information

- **Practice address:** 106 ANDREW PL, STERLING, VA 20164-4803
- **Practice address phone:** (240) 907-1343
- **Mailing address:** 585 GROVE ST STE 145, HERNDON, VA 20170-4791

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/25/2023
- **Last updated:** 04/25/2023
