Organization
PREMIER HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND LOUIS'JEAN (CEO)
(803) 708-2405
Entity
Organization
Contact information
Practice address
8311 TWO NOTCH RD, COLUMBIA, SC 29223-6303
(803) 696-4993
Mailing address
8311 TWO NOTCH RD, COLUMBIA, SC 29223-6303
(803) 696-4993
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IHCP-0788
SC
Other
Enumeration date
12/03/2017
Last updated
12/03/2017
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