Organization
PREMIER FAMILY HEALTH CARE SERVICES, LLC
Active
Organization
PREMIER FAMILY HEALTH CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACIE MEDLIN SHEARIN MSW (PRESIDENT/OWNER)
(252) 519-2273
Entity
Organization
Contact information
Practice address
1704 HWY 158, ROANOKE RAPIDS, NC 27870-8378
(252) 519-2273
(252) 535-2399
Mailing address
1704 HWY 158, ROANOKE RAPIDS, NC 27870-8378
(252) 519-2273
(252) 535-2399
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
MHL-042-052
NC
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019YW
BCBS
NC
05
—
3409692
—
NC
05
—
8300375
—
NC
01
—
8388
LME PROVIDER NUMBER
NC
Enumeration date
07/25/2006
Last updated
05/26/2009
Update your record
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