# PREMIUM HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1285301747
- **Authorized official:** JOELE THOMAS (OWNER)
- **Authorized official phone:** (347) 733-9378

## Contact information

- **Practice address:** 3929 LILLIE ST, POWDER SPRINGS, GA 30127-3228
- **Practice address phone:** (678) 208-3944
- **Mailing address:** 1306 OCEAN AVE APT 4E, BROOKLYN, NY 11230-3202
- **Mailing address phone:** (347) 733-9378

## Taxonomy

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

## Other

- **Enumeration date:** 08/24/2021
- **Last updated:** 08/24/2021