# PREMIER PERSONAL HEALTH SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PREMIER CLA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205100591
- **Authorized official:** MRS. LISA YVONNE BRADSHAW-SMALL APRN-BC (CEO)
- **Authorized official phone:** (404) 819-9665

## Contact information

- **Practice address:** 8025 WILKERSON LN, PALMETTO, GA 30268-8626
- **Practice address phone:** (404) 819-9665
- **Practice address fax:** (678) 624-6030
- **Mailing address:** 6269 GREENOCK DR, STONE MOUNTAIN, GA 30087-6081
- **Mailing address phone:** (404) 819-9665
- **Mailing address fax:** (866) 624-6594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 03/04/2012
- **Last updated:** 08/12/2012