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Organization
PREMIUM SELECT HOME CARE INC
Active
Organization
PREMIUM SELECT HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA HART DAVIS R.N., M.S. (ADMINISTRATOR)
(202) 882-9310
Entity
Organization
Contact information
Practice address
5513 ILLINOIS AVE NW, WASHINGTON, DC 20011-2937
(202) 882-9310
(202) 882-9374
Mailing address
5513 ILLINOIS AVE NW, WASHINGTON, DC 20011-2937
(202) 882-9310
(202) 882-9374
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
097050
DC
385H00000X
Respite Care
—
NULL
Other
Enumeration date
03/06/2007
Last updated
03/05/2020
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