| NPI | 1205100591 |
|---|---|
| Doing Business As | PREMIER CLA |
| Entity Type | Organization |
| Authorized Contact | LISA YVONNE BRADSHAW-SMALL CEO 404-819-9665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 251J00000X Nursing Care | |
| Enumeration Date | 2012-03-04 |
| Last Update Date | 2012-08-12 |