Organization
PREMIUM HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA S. HARRISON (DIRECTOR)
(336) 786-7798
Entity
Organization
Contact information
Practice address
1050 WORTH ST, MOUNT AIRY, NC 27030-4453
(336) 786-7798
(336) 786-8837
Mailing address
1050 WORTH ST, MOUNT AIRY, NC 27030-4453
(336) 786-7798
(336) 786-8837
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3356
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418125
—
NC
Enumeration date
03/15/2007
Last updated
08/22/2020
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