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Organization
PREMIUM STANDARD HOME CARE OF OHIO
Active
Organization
PREMIUM STANDARD HOME CARE OF OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GIANINA WALKER (OWNER)
(404) 545-6888
Entity
Organization
Contact information
Practice address
1764 ALEC PLACE, ATLANTA, GA 30329
(404) 545-6888
Mailing address
815 SUPERIOR AVE E STE 1618, CLEVELAND, OH 44114-2709
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
02/08/2024
Last updated
05/27/2026
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