Organization
ML PREMIUM NURSING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN LEE (CEO)
(770) 899-8393
Entity
Organization
Contact information
Practice address
5376 STONE COVE DR SW, ATLANTA, GA 30331-8917
(770) 899-8393
(404) 549-2450
Mailing address
5376 STONE COVE DR SW, ATLANTA, GA 30331-8917
(770) 899-8393
(404) 549-2450
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
GA
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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