Organization
PREMIER HOME CARE SERVICE-EAST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEKEISHA MATHIS (EXEC DIRECTOR)
(314) 541-1495
Entity
Organization
Contact information
Practice address
6156 GREEN MEADOW PKWY APT A, BALTIMORE, MD 21209-3347
(314) 541-1495
Mailing address
6156 GREEN MEADOW PKWY, BALTIMORE, MD 21209-3347
(314) 541-1495
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/06/2022
Last updated
02/06/2022
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