Healthcare Provider Details

I. General information

NPI: 1043489057
Provider Name (Legal Business Name): PREEMIES & ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2008
Last Update Date: 10/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12450 CLEVELAND RD SUITE 201
GARNER NC
27529-8353
US

IV. Provider business mailing address

12450 CLEVELAND RD SUITE 201
GARNER NC
27529-8353
US

V. Phone/Fax

Practice location:
  • Phone: 919-771-0775
  • Fax: 919-303-3939
Mailing address:
  • Phone: 919-771-0775
  • Fax: 919-303-3939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateNC

VIII. Authorized Official

Name: RONALD S. ELMORE
Title or Position: CEO/COO
Credential:
Phone: 919-771-0775