Organization
PREMIER CARE SERVICES OF ENNIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN DURHAM (ADMIN/ OWNER)
(972) 875-6277
Entity
Organization
Contact information
Practice address
300 W CROCKETT ST, ENNIS, TX 75119-4704
(972) 875-6277
(972) 875-6276
Mailing address
300 W CROCKETT ST, ENNIS, TX 75119-4704
(972) 875-6277
(972) 875-6276
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
016925
TX
Other
Enumeration date
12/14/2015
Last updated
05/08/2024
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