# ML PREMIUM NURSING SERVICE

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

## Provider details

- **NPI number:** 1821405986
- **Authorized official:** MR. RYAN LEE (CEO)
- **Authorized official phone:** (770) 899-8393

## Contact information

- **Practice address:** 5376 STONE COVE DR SW, ATLANTA, GA 30331-8917
- **Practice address phone:** (770) 899-8393
- **Practice address fax:** (404) 549-2450
- **Mailing address:** 5376 STONE COVE DR SW, ATLANTA, GA 30331-8917
- **Mailing address phone:** (770) 899-8393
- **Mailing address fax:** (404) 549-2450

## Taxonomy

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

## Other

- **Enumeration date:** 07/21/2014
- **Last updated:** 07/21/2014