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Organization
PREMIERE SENIOR CARE, LLC
Active
Organization
PREMIERE SENIOR CARE, LLC
Active
Other names
A Premiere Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STACY LEN WHETZELL (OWNER/CEO)
(423) 847-2422
Entity
Organization
Contact information
Practice address
1700 BACK VALLEY RD, TRENTON, GA 30752-4641
(423) 847-2422
Mailing address
PO BOX 770, TRENTON, GA 30752-0770
(423) 847-2422
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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