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NPI Code Detail

MEDICARE: PREMIER HOME CARE INC

MEDICARE: PREMIER HOME CARE INC
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
1332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881770022
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMIER HOME CARE INC
Provider Business Mailing Address
First Line : 313 E WASHINGTON AVE
Second Line :
City : ASHBURN
State : GA
Zip : 31714-5248
Country : US
Telephone Number : 229-567-2993
Fax Number : 229-567-2944
Provider Business Practice Location Address
First Line : 313 E WASHINGTON AVE
Second Line :
City : ASHBURN
State : GA
Zip : 31714-5248
Country : US
Telephone Number : 229-567-2993
Fax Number : 229-567-2944
Authorized Official
Title or Position : OWNER
Name : ARA PAYNE
Credential :
Telephone Number : 229-567-2993
Provider Enumeration Date : 10/31/2006
Last Update Date : 08/13/2019

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Directions to “PREMIER HOME CARE INC ” Practice Location

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