Organization
PREMIER HOME HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY B BATES (OWNER)
(407) 228-4661
Entity
Organization
Contact information
Practice address
2454 E MICHIGAN ST, SUITE B, ORLANDO, FL 32806-5059
(407) 228-4661
(407) 895-1261
Mailing address
2454 E MICHIGAN ST, SUITE B, ORLANDO, FL 32806-5059
(407) 228-4661
(407) 895-1261
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
424
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022630100
—
FL
01
—
R8906
BC/BS #
FL
Enumeration date
10/13/2005
Last updated
10/18/2010
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