Organization
PREMIER HEALTH NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANESHA SMITH (DIRECTOR)
(313) 208-1685
Entity
Organization
Contact information
Practice address
20998 WESTHAVEN AVE, SOUTHFIELD, MI 48075-7931
(313) 208-1685
Mailing address
20998 WESTHAVEN AVE, SOUTHFIELD, MI 48075-7931
(313) 208-1685
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
11/15/2023
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