Organization
PREMIUM HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOELE THOMAS (OWNER)
(347) 733-9378
Entity
Organization
Contact information
Practice address
3929 LILLIE ST, POWDER SPRINGS, GA 30127-3228
(678) 208-3944
Mailing address
1306 OCEAN AVE APT 4E, BROOKLYN, NY 11230-3202
(347) 733-9378
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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