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Organization
PREMIER CHOICE LLC
Active
Organization
PREMIER CHOICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROQUELYN BINGAMAN BS (DIRECTOR)
(717) 941-9033
Entity
Organization
Contact information
Practice address
470 N 48TH ST, HARRISBURG, PA 17111-3421
(717) 941-9033
(717) 340-0008
Mailing address
470 N 48TH ST, HARRISBURG, PA 17111-3421
(717) 941-9033
(717) 340-0008
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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