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Organization
PREMIUM HOMECARE AGENCY LLC
Active
Organization
PREMIUM HOMECARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARINCE JEAN BAPTISTE (OWNER)
(954) 305-5263
Entity
Organization
Contact information
Practice address
89 GREEN LODGE ST, CANTON, MA 02021-1131
(781) 298-7112
Mailing address
89 GREEN LODGE ST, CANTON, MA 02021-1131
(781) 298-7112
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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