Organization
PREMIER IN-HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTUS NZOMO MULWA (PRESIDENT)
(301) 455-3030
Entity
Organization
Contact information
Practice address
11456 STEWART LN, #: D2, SILVER SPRING, MD 20904-2232
(301) 326-2225
(301) 326-2270
Mailing address
PO BOX 4095, SILVER SPRING, MD 20914-4095
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R3114P
MD
251J00000X
Nursing Care Agency
R3114P
MD
253Z00000X
In Home Supportive Care Agency
R3114P
MD
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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