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General NPI Number Information
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NPI Number | 1790447886
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Entity Type | Organization
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Legal Business Name | PREMIER HOME CARE, LLC
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Dates
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Enumeration Date | 10/06/2021
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Last Update Date | 10/06/2021
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Provider Practice Location Address
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Address Line | 7741 HAMBURG RD
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City | BRIGHTON
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State | MI
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Zip | 48116-5135
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Country | US
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Telephone | 248-259-8229
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Fax |
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Provider Business Mailing Address
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Address Line | 7420 EAST M-36 SUITE 587
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City | HAMBURG
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State | MI
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Zip | 48139-0541
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Country | US
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Telephone | 734-800-8036
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Fax |
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Authorized Official
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Title or Position | CHEIF EXECUTIVE OFFICER
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Name | MR. ROBERT B JONES
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Credential |
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Telephone | 248-259-8229
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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 |
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