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Organization

PREMIER HOME HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ERIC WALTS MBA (PRESIDENT)
(765) 662-4091
Entity
Organization

Contact information

Practice address
504 N BRADNER AVE, MARION, IN 46952-2477
(765) 662-0491
(765) 662-0498
Mailing address
504 N BRADNER AVE, MARION, IN 46952-2477
(765) 662-0491
(765) 662-0498

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
05010001-1
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200132560A
IN
Enumeration date
07/01/2005
Last updated
05/08/2012
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