| NPI | 1679941181 |
|---|---|
| Former Legal Business Name | PREMIUM HOME HEALTH CARE, LLC |
| Entity Type | Organization |
| Authorized Contact | JOHN IVER Chief Operating Officer 571-620-7556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 385H00000X Respite Care | |
| 372600000X Adult Companion | |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2023-10-07 |