# PREEMINENT HOME HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750073623
- **Authorized official:** TY TANESHA CLARK (OWNER/ADMIN)
- **Authorized official phone:** (252) 714-6931

## Contact information

- **Practice address:** 900 GRANBY ST STE 137, NORFOLK, VA 23510-2534
- **Practice address phone:** (252) 714-6931
- **Mailing address:** 600 LANCER DR, PORTSMOUTH, VA 23701-2144
- **Mailing address phone:** (252) 714-6931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/22/2023
- **Last updated:** 05/22/2023