Organization
PREMIER HOME CARE 1 LLC
Active
Other names
DJP and JPB Management Inc, Amada Senior Care of Bentonville AR
Organization subpart
No
Provider details
NPI number
Authorized official
DAKOTA JAMES PRUITT (OWNER)
(918) 851-4334
Entity
Organization
Contact information
Practice address
600 S 1ST ST, ROGERS, AR 72756-4670
(918) 851-4334
Mailing address
6736 N 129TH EAST AVE, OWASSO, OK 74055-7160
(918) 851-4334
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
07/30/2025
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