Organization
PREMIER HEALTHCARE SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIANA JOHNSON REGISTERED NURSE (ADMINISTRATOR)
(757) 410-2754
Entity
Organization
Contact information
Practice address
1015 EDEN WAY N STE A, CHESAPEAKE, VA 23320-2787
(757) 410-2754
(757) 410-2763
Mailing address
1015 EDEN WAY N STE A, CHESAPEAKE, VA 23320-2787
(757) 410-2754
(757) 410-2763
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
363L00000X
Nurse Practitioner
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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