Organization
PREMIUMCARE HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS OLLEN NANDA MD (DIRECTOR)
(510) 556-6739
Entity
Organization
Contact information
Practice address
1600 GRAND AVE APT 24, SAN LEANDRO, CA 94577-5357
(510) 556-6739
Mailing address
1600 GRAND AVE APT 24, SAN LEANDRO, CA 94577-5357
(510) 556-6739
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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