Organization
PREMIER HOME COMPANION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CURTIS EUGENE BRIDGES II (ADMINISTRATOR)
(850) 508-3397
Entity
Organization
Contact information
Practice address
475 APPLEYARD DR, APT 112, TALLAHASSEE, FL 32304-2808
(850) 508-3397
Mailing address
PO BOX 20681, TALLAHASSEE, FL 32316-0681
(850) 508-3397
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
234334
FL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
234334
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
234334
AGENCY FOR HEALTH CARE ADMINSTRATION
FL
Enumeration date
03/13/2016
Last updated
03/13/2016
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