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Organization
PREMIER HOME CARE SERVICES LLC
Active
Organization
PREMIER HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY KOLA (CFO)
(912) 323-7718
Entity
Organization
Contact information
Practice address
6004 COLE LN, LOGANVILLE, GA 30052-9277
(912) 323-7718
Mailing address
6004 COLE LN, LOGANVILLE, GA 30052-9277
(912) 323-7718
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
03/28/2021
Last updated
03/28/2021
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