Organization
PREMIUM HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIKE NWOKEDI (ALTERNATE ADMINISTRATOR)
(317) 469-3360
Entity
Organization
Contact information
Practice address
881 DECLARATION DRIVE, PITTSBORO, IN 46167
(317) 744-3022
Mailing address
881 DECLARATION DRIVE, PITTSBORO, IN 46167
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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