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Organization

PREMIER HOME HEALTHCARE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY B BATES (PRESIDENT)
(386) 767-0903
Entity
Organization

Contact information

Practice address
209 DUNLAWTON AVE, UNIT 9, PORT ORANGE, FL 32127-4472
(386) 767-0903
Mailing address
209 DUNLAWTON AVE, UNIT 9, PORT ORANGE, FL 32127-4472

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
FL

Other

Enumeration date
08/17/2007
Last updated
01/19/2012
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