Organization
PREMIUM STANDARD HOME CARE OF OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GIANINA WALKER (OWNER)
(404) 545-6888
Entity
Organization
Contact information
Practice address
1764 ALEC PLACE, ATLANTA, GA 30329
(404) 545-6888
Mailing address
815 SUPERIOR AVE E STE 1618, CLEVELAND, OH 44114-2709
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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