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Organization

PREMIER HOME HEALTHCARE LLC

Active
Other names
Premier Homecare
Organization subpart
No

Provider details

NPI number
Authorized official
CLAUDIA VANESSA ORRANTIA (PRESIDENT)
(575) 636-4591
Entity
Organization

Contact information

Practice address
855 W PICACHO AVE, SUITE A, LAS CRUCES, NM 88005-2204
(575) 636-5221
(575) 233-6288
Mailing address
3369 PARK RIDGE PL, LAS CRUCES, NM 88005-1106
(575) 636-5221
(575) 233-6288

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
251T00000X
PACE Provider Organization
253Z00000X
In Home Supportive Care Agency
Primary
311ZA0620X
Adult Care Home Facility
347C00000X
Private Vehicle
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Enumeration date
10/14/2016
Last updated
10/26/2016
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