Organization
LEGACY PREMEIR HEALTHCARE SERVICES
Active
Other names
LEGACY PREMEIR HEALTHCARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
ZARETTE MECHELLE PARKER RN (OWNER)
(321) 295-1314
Entity
Organization
Contact information
Practice address
213 22ND ST NE, BRADENTON, FL 34208-1631
(321) 295-1314
Mailing address
581 N PARK AVE UNIT 2472, APOPKA, FL 32704-8707
(321) 356-7792
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
251J00000X
Nursing Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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