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Organization
PREMIUM COMMUNITY CARE PLLC
Active
Organization
PREMIUM COMMUNITY CARE PLLC
Active
Other names
Premium community care pllc
Organization subpart
No
Provider details
NPI number
Authorized official
MADELEINE ATEMKENG NSO NANA (OWNER)
(218) 892-5964
Entity
Organization
Contact information
Practice address
14556 N PENNSYLVANIA AVE APT 101, OKLAHOMA CITY, OK 73134-6145
(701) 373-6394
Mailing address
901 10TH ST S, FARGO, ND 58103-3101
(701) 373-6394
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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