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Organization
PIEDMONT PREMIUM CARE,LLC
Active
Organization
PIEDMONT PREMIUM CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA RENEE SIMMONS (OWNER)
(336) 293-4800
Entity
Organization
Contact information
Practice address
500 W 4TH ST STE 201F, WINSTON SALEM, NC 27101-2782
(336) 997-4089
Mailing address
500 W 4TH ST STE 101, WINSTON SALEM, NC 27101-2782
(336) 293-4800
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/26/2020
Last updated
06/22/2022
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