Organization
PREMIER LIVE-INS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY TURCHAN MSW, MPA (CHIEF FINANCIAL OFFICER)
(914) 428-7722
Entity
Organization
Contact information
Practice address
300 W MAIN ST, BLDG. A, SUITE 5, NORTHBOROUGH, MA 01532-2132
(508) 393-8570
(508) 393-8610
Mailing address
445 HAMILTON AVE, 10TH FLOOR, WHITE PLAINS, NY 10601-1807
(914) 428-7722
(914) 428-2404
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
7246
MA
251E00000X
Home Health Agency
7246
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7245
LICENSE TO ESTABLISH AND CONDUCT AN EMPLOYMENT AGENCY
MA
01
—
7246
LICENSE TO ESTABLISH AND CONDUCT AN EMPLOYMENT AGENCY
MA
01
—
7247
LICENSE TO ESTABLISH AND CONDUCT AN EMPLOYMENT AGENCY
MA
Enumeration date
09/09/2010
Last updated
09/09/2010
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