# PREMIER KIDS CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548237563
- **Authorized official:** CHELLA LEICHT (CONTRACTS AND LICENSURE COORDINATOR)
- **Authorized official phone:** (770) 207-9001

## Contact information

- **Practice address:** 221 PLAZA DR, MONROE, GA 30655-3184
- **Practice address phone:** (770) 207-9001
- **Practice address fax:** (770) 207-8987
- **Mailing address:** 221 PLAZA DR, MONROE, GA 30655-3184
- **Mailing address phone:** (770) 207-9001
- **Mailing address fax:** (770) 207-8987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PHRE008225 | GA | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE008225 | GA | Yes |
| 3336S0011X | Specialty Pharmacy | PHRE008225 | GA | — |

## Other

- **Enumeration date:** 03/08/2006
- **Last updated:** 01/02/2012
