Organization
PREMIER SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BELLA JO MOORE (MANAGER)
(601) 487-8442
Entity
Organization
Contact information
Practice address
213 ALLEN DR, BRANDON, MS 39047-4617
(601) 487-8442
(601) 487-8042
Mailing address
213 ALLEN DR, BRANDON, MS 39047-4617
(601) 487-8442
(601) 487-8042
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/16/2016
Last updated
10/14/2016
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