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NPI Code Detail

MEDICARE: PREMIER SERVANTS LLC

MEDICARE: PREMIER SERVANTS 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
1253Z00000XIn Home Supportive Care AgencyL000000006469TN

General Provider Information

NPI Number : 1811297674
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMIER SERVANTS LLC
Provider Business Mailing Address
First Line : 106 DEBUSK LN
Second Line :
City : KNOXVILLE
State : TN
Zip : 37922-2021
Country : US
Telephone Number : 865-531-4833
Fax Number : 865-531-4835
Provider Business Practice Location Address
First Line : 106 DEBUSK LN
Second Line :
City : KNOXVILLE
State : TN
Zip : 37922-2021
Country : US
Telephone Number : 865-531-4833
Fax Number : 865-531-4835
Authorized Official
Title or Position : PRESIDENT/DIRECTOR
Name : DANIEL DUWAYNE POPE
Credential : MBA
Telephone Number : 865-531-4833
Provider Enumeration Date : 10/27/2010
Last Update Date : 10/17/2023

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Directions to “PREMIER SERVANTS LLC ” Practice Location

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