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Organization

PREMIUM HOME HEALTH CARE INC

Active
Other names
PREMIUM HOME HEALTH CARE INC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TRINIDAD CUEVAS ALAIR (PRESIDENT)
(586) 276-0604
Entity
Organization

Contact information

Practice address
2015 15 MILE RD, STERLING HEIGHTS, MI 48310-4864
(586) 276-0604
(586) 276-0614
Mailing address
2015 15 MILE RD, STERLING HEIGHTS, MI 48310-4864
(586) 276-0604
(586) 276-0614

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3388986
MI
01
710100000E898
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/28/2005
Last updated
07/21/2022
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