Organization
PREMIUM HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM F HOLT (MEMBER)
(401) 490-0054
Entity
Organization
Contact information
Practice address
1215 RESERVOIR AVE, CRANSTON, RI 02920-6009
(401) 490-0054
(401) 490-0098
Mailing address
1215 RESERVOIR AVE, CRANSTON, RI 02920-6009
(401) 490-0054
(401) 490-0098
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
RI
Other
Enumeration date
02/28/2014
Last updated
02/28/2014
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