Organization
PREMIER PNCC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISIA SMITH (OWNER)
(414) 509-4671
Entity
Organization
Contact information
Practice address
333 W BROWN DEER RD UNIT G917, MILWAUKEE, WI 53217-2372
(414) 310-9188
Mailing address
333 W BROWN DEER RD UNIT G917, MILWAUKEE, WI 53217-2372
(414) 509-4671
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/18/2021
Last updated
12/18/2021
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