Organization
PREMIUM CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA NWOKEDI (OWNER)
(317) 453-7704
Entity
Organization
Contact information
Practice address
881 DECLARATION DR, PITTSBORO, IN 46167-8834
(317) 453-7704
Mailing address
881 DECLARATION DR, PITTSBORO, IN 46167-8834
(317) 453-7704
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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