| NPI | 1871471532 |
|---|---|
| Former Legal Business Name | PREMIUM COMMUNITY CARE PLLC |
| Entity Type | Organization |
| Authorized Contact | MADELEINE ATEMKENG NSO NANA Owner 218-892-5964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-08-21 |