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General NPI Number Information
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NPI Number | 1467452748
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Entity Type | Organization
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Legal Business Name | PREMIUM HOME HEALTH CARE INC
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Dates
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Enumeration Date | 07/28/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2015 15 MILE RD
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310-4864
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Country | US
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Telephone | 586-276-0604
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Fax | 586-276-0614
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Provider Business Mailing Address
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Address Line | 2015 15 MILE RD
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310-4864
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Country | US
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Telephone | 586-276-0604
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Fax | 586-276-0614
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. TRINIDAD CUEVAS ALAIR
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Credential |
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Telephone | 586-276-0604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | MI
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