Organization
PREMIERCHOICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIYAH NEWMAN (CEO)
(870) 735-4411
Entity
Organization
Contact information
Practice address
602 N MISSOURI ST, WEST MEMPHIS, AR 72301-3148
(870) 735-4411
(870) 733-0301
Mailing address
602 N MISSOURI ST, WEST MEMPHIS, AR 72301-3148
(870) 735-4411
(870) 733-0301
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203614732
—
AR
Enumeration date
07/26/2019
Last updated
08/01/2019
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