Organization
PREMIUM SELECT HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA HART DAVIS R.N., M.S. (ADMINISTRATOR)
(202) 882-9310
Entity
Organization
Contact information
Practice address
5513 ILLINOIS AVE NW, WASHINGTON, DC 20011-2937
(202) 882-9310
(202) 882-9374
Mailing address
5513 ILLINOIS AVE NW, WASHINGTON, DC 20011-2937
(202) 882-9310
(202) 882-9374
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
097050
DC
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026852600
—
DC
05
—
026854200
—
DC
Enumeration date
03/06/2007
Last updated
03/05/2020
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