Organization
TRI-STATE PREMIER HEALTHCARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARISSE NYAM RN (DIRECTOR OF NURSING)
(513) 310-7597
Entity
Organization
Contact information
Practice address
1250 MISTY LAKE LN, BATAVIA, OH 45103-1184
(513) 227-9266
Mailing address
1250 MISTY LAKE LN, BATAVIA, OH 45103-1184
(513) 227-9266
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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