Organization
PREMIER HOME CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAYMONDE FANNY BROOKS (OWNER)
(202) 415-3215
Entity
Organization
Contact information
Practice address
5640 POWERS LN, CENTREVILLE, VA 20120-1981
(202) 415-3215
Mailing address
5640 POWERS LN, CENTREVILLE, VA 20120-1981
(202) 415-3215
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
757695
VA
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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