| NPI | 1992467674 |
|---|---|
| Doing Business As | PIEDMONT PREMIUM COMMUNITY CARE |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA RENEE SIMMONS Owner 336-997-4089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2021-10-09 |
| Last Update Date | 2021-10-11 |