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Organization
PREMIER HHC LLC
Active
Organization
PREMIER HHC LLC
Active
Other names
Autumn Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BETSON JOHN ZACHARIAH (C.O.O./ALTERNATE ADMIN)
(972) 890-4743
Entity
Organization
Contact information
Practice address
1600 PIEDMONT PL, CARROLLTON, TX 75007-5041
(214) 483-6800
(214) 483-6802
Mailing address
1600 PIEDMONT PL, CARROLLTON, TX 75007-5041
(214) 483-6800
(214) 483-6802
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
747143
MEDICARE PTAN
TX
Enumeration date
12/11/2007
Last updated
11/25/2009
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