Organization
PREMIER LIVING HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAWONA D COLEMAN (OWNER)
(205) 276-7692
Entity
Organization
Contact information
Practice address
5968 CLUBHOUSE DR, TRUSSVILLE, AL 35173-3641
(205) 276-7692
Mailing address
5968 CLUBHOUSE DR, TRUSSVILLE, AL 35173-3641
(205) 276-7692
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
12/28/2023
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