Organization
PREMIUM PERSONAL HOME CARE LLC
Active
Other names
Premium Personal Home Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
OSLEIDIS PEREZ LAGO (MEDICAL ASSISTANT)
(432) 556-7841
Entity
Organization
Contact information
Practice address
3801 N COUNTY ROAD 1140, MIDLAND, TX 79705-9609
(432) 270-6074
(432) 260-6077
Mailing address
3801 N COUNTY ROAD 1140, MIDLAND, TX 79705-9609
(432) 270-6074
(432) 260-6077
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
09/21/2022
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