Organization
PREMIERE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD RENAUD MODO MODO (GENERAL MANAGER)
(240) 603-3422
Entity
Organization
Contact information
Practice address
11632 STEWART LN, 201, SILVER SPRING, MD 20904-2480
(240) 603-3422
Mailing address
11632 STEWART LN, 201, SILVER SPRING, MD 20904-2480
(240) 603-3422
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/06/2006
Last updated
08/22/2020
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