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Organization
PREMIER CARE NURSES OF AMERICA INC
Active
Organization
PREMIER CARE NURSES OF AMERICA INC
Active
Other names
Premier Care Nurses of America, Premier Care Nurses of America Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRJANA GOFORTH (ADMINISTRATOR)
(561) 353-9200
Entity
Organization
Contact information
Practice address
5350 W HILLSBORO BLVD STE 202, COCONUT CREEK, FL 33073-4396
(954) 933-9005
(561) 353-9201
Mailing address
5350 W HILLSBORO BLVD STE 202, COCONUT CREEK, FL 33073-4396
(954) 933-9005
(561) 353-9201
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
30211191
FL
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690555201
—
FL
Enumeration date
08/29/2013
Last updated
01/19/2024
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