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Organization
PREMIUM HOME CARE LLC
Active
Organization
PREMIUM HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA S. HARRISON OWNER (DIRECTOR)
(336) 386-9777
Entity
Organization
Contact information
Practice address
119 B N. CRUTCHFIELD ST., DOBSON, NC 27017-0265
(336) 386-9777
(336) 386-9775
Mailing address
PO BOX 265, DOBSON, NC 27017-0265
(336) 386-9777
(336) 386-9775
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3356
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418125
—
NC
05
—
6601459
—
NC
Enumeration date
02/13/2007
Last updated
01/02/2008
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