# PREMIUM HOME CARE SOLUTIONS

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

## Provider details

- **NPI number:** 1275224628
- **Authorized official:** LISANDRA RODRIGUEZ (PRESIDENT)
- **Authorized official phone:** (561) 715-9167

## Contact information

- **Practice address:** 5135 FERNDALE DR, DELRAY BEACH, FL 33484-1715
- **Practice address phone:** (561) 715-9167
- **Mailing address:** 5135 FERNDALE DR, DELRAY BEACH, FL 33484-1715
- **Mailing address phone:** (561) 715-9167

## Taxonomy

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

## Other

- **Enumeration date:** 05/17/2023
- **Last updated:** 05/17/2023