MEDICARE: PREMIUM TOUCH OF CARE ENTERPRISES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1245008044
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIUM TOUCH OF CARE ENTERPRISES, LLC

Provider Business Mailing Address
First Line	:	2821 N MARSTON ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19132-2518
Country	:	US
Telephone Number	:	610-482-2121
Fax Number	:

Provider Business Practice Location Address
First Line	:	2821 N MARSTON ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19132-2518
Country	:	US
Telephone Number	:	610-482-2121
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. RAMONA L CURRIN
Credential	:
Telephone Number	:	610-482-2121

Provider Enumeration Date	:	12/12/2023
Last Update Date	:	03/12/2024

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