Organization
PREMIER HOME CARE
Active
Other names
Premier Outpatient Therapies
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAWANNA LOU BEST RN (CEO)
(719) 395-3124
Entity
Organization
Contact information
Practice address
301 HWY 24 N, BUENA VISTA, CO 81211-5007
(719) 395-3124
(719) 395-3128
Mailing address
301 HWY 24 N, BOX 5007, BUENA VISTA, CO 81211-5007
(719) 395-3124
(719) 395-3128
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
067455
CO
261QP2000X
Physical Therapy Clinic/Center
Primary
1518275767
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067455
MEDICARE
CO
05
—
54229863
—
CO
Enumeration date
11/04/2010
Last updated
11/04/2010
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