Organization
PREMIER HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES K GOFF (OWNER)
(417) 667-4242
Entity
Organization
Contact information
Practice address
1617 E ASHLAND ST, NEVADA, MO 64772-4027
(417) 667-4242
Mailing address
4145 S MCCANN CT STE C, SPRINGFIELD, MO 65804-7232
(417) 864-4622
(417) 864-8708
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79143
HEALTHCARE USA
MO
Enumeration date
03/03/2008
Last updated
03/03/2008
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