Organization
PREMIUM HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOSIMOT ADENIKE BUHARI (CEO)
(617) 412-8515
Entity
Organization
Contact information
Practice address
6702 CHAPEL DALE RD, BOWIE, MD 20720-5217
(617) 412-8515
Mailing address
6702 CHAPEL DALE RD, BOWIE, MD 20720-5217
(617) 412-8515
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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