Organization
PREMIERE QUALITY HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ESHA DUSHON PRICE NP (NURSE PRACTITIONER)
(313) 635-5978
Entity
Organization
Contact information
Practice address
12048 GRAND RIVER AVE, DETROIT, MI 48204-1836
(313) 635-5978
(313) 635-2171
Mailing address
12048 GRAND RIVER AVE, DETROIT, MI 48204-1836
(313) 491-0003
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
01/10/2022
Last updated
12/07/2023
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