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Organization
PREMIUM STANDARD HOME CARE OF MICHIGAN INC.
Active
Organization
PREMIUM STANDARD HOME CARE OF MICHIGAN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GIANINA WALKER (DIRECTOR)
(404) 545-6888
Entity
Organization
Contact information
Practice address
1764 ALEC PL NE, ATLANTA, GA 30329-3564
(404) 545-6888
Mailing address
1764 ALEC PL NE, ATLANTA, GA 30329-3564
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
12/08/2023
Last updated
05/27/2026
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