# PREMIERE SENIOR CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** A Premiere Senior Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164807947
- **Authorized official:** MR. STACY LEN WHETZELL (OWNER/CEO)
- **Authorized official phone:** (423) 847-2422

## Contact information

- **Practice address:** 1700 BACK VALLEY RD, TRENTON, GA 30752-4641
- **Practice address phone:** (423) 847-2422
- **Mailing address:** PO BOX 770, TRENTON, GA 30752-0770
- **Mailing address phone:** (423) 847-2422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/22/2015
- **Last updated:** 07/22/2015