Organization
PREMIUM HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMMACULATE TABI DEISRAEL (CO-OWNER)
(301) 683-4148
Entity
Organization
Contact information
Practice address
1040 90TH ST, WEST DES MOINES, IA 50266-3306
(301) 683-4148
Mailing address
1040 90TH ST, WEST DES MOINES, IA 50266-3306
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
311Z00000X
Custodial Care Facility
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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