# PREMIUM HOME HEALTH CARE INC.

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

## Provider details

- **NPI number:** 1336428382
- **Authorized official:** LATANYA HOLLOWAY (PRESIDENT)
- **Authorized official phone:** (414) 231-0809

## Contact information

- **Practice address:** 8042 W POTOMAC AVE, MILWAUKEE, WI 53218-4561
- **Practice address phone:** (414) 231-0809
- **Mailing address:** 8042 W POTOMAC AVE, MILWAUKEE, WI 53218-4561
- **Mailing address phone:** (414) 231-0809

## Taxonomy

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

## Other

- **Enumeration date:** 08/09/2011
- **Last updated:** 08/09/2011