Organization
PREMIER PERSONAL HEALTH SERVICES, LLC
Active
Organization
PREMIER PERSONAL HEALTH SERVICES, LLC
Active
Parent organization
PREMIER PERSONAL HEALTH SERVICES, LLC
Other names
Premier Private Home Care Agency
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIER PERSONAL HEALTH SERVICES, LLC
Authorized official
MRS. LISA YVONNE BRADSHAW-SMALL APRN, BC (CEO)
(866) 447-4547
Entity
Organization
Contact information
Practice address
6269 GREENOCK DR, STONE MOUNTAIN, GA 30087-6081
(866) 446-4547
(678) 825-6030
Mailing address
6269 GREENOCK DR, STONE MOUNTAIN, GA 30087-6081
(866) 446-4547
(678) 825-6030
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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