Organization
PREMIUM HOME HEALTH CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATANYA HOLLOWAY (PRESIDENT)
(414) 231-0809
Entity
Organization
Contact information
Practice address
8042 W POTOMAC AVE, MILWAUKEE, WI 53218-4561
(414) 231-0809
Mailing address
8042 W POTOMAC AVE, MILWAUKEE, WI 53218-4561
(414) 231-0809
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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