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Organization
LEGACY PREMEIR HEALTHCARE SERVICES
Active
Organization
LEGACY PREMEIR HEALTHCARE SERVICES
Active
Other names
LEGACY PREMEIR HEALTHCARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
ZARETTE MECHELLE PARKER RN (OWNER)
(321) 295-1314
Entity
Organization
Contact information
Practice address
213 22ND ST NE, BRADENTON, FL 34208-1631
(321) 295-1314
Mailing address
581 N PARK AVE UNIT 2472, APOPKA, FL 32704-8707
(321) 356-7792
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
NULL
163WH0200X
Home Health Registered Nurse
Primary
—
—
251J00000X
Nursing Care Agency
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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