Organization
PREMIUM COMMUNITY CARE PLLC
Active
Other names
Premium community care pllc
Organization subpart
No
Provider details
NPI number
Authorized official
MADELEINE ATEMKENG NSO NANA (OWNER)
(218) 892-5964
Entity
Organization
Contact information
Practice address
14556 N PENNSYLVANIA AVE APT 101, OKLAHOMA CITY, OK 73134-6145
(701) 373-6394
Mailing address
901 10TH ST S, FARGO, ND 58103-3101
(701) 373-6394
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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