Organization
PREMIER ONE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIAMAKA KALU CNP (PRESIDENT)
(614) 554-9247
Entity
Organization
Contact information
Practice address
857 CEDAR RUN DR, BLACKLICK, OH 43004-8808
(614) 554-3247
Mailing address
857 CEDAR RUN DR, BLACKLICK, OH 43004-8808
(614) 554-3247
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
OH
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
OH
Other
Enumeration date
11/30/2016
Last updated
04/10/2017
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