# PREMIER HOME CARE SERVICE-EAST LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225782543
- **Authorized official:** DEKEISHA MATHIS (EXEC DIRECTOR)
- **Authorized official phone:** (314) 541-1495

## Contact information

- **Practice address:** 6156 GREEN MEADOW PKWY APT A, BALTIMORE, MD 21209-3347
- **Practice address phone:** (314) 541-1495
- **Mailing address:** 6156 GREEN MEADOW PKWY, BALTIMORE, MD 21209-3347
- **Mailing address phone:** (314) 541-1495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/06/2022
- **Last updated:** 02/06/2022