Organization Name: | PREMIER HOME CARE INC |
NPI Number: | 1114949609 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAWANNA L BEST (COO) |
Mailing Address: | 28350 Cr 317 Suite 1 Buena Vista |
State: | CO US |
Postal Code: | 812115007 |
Phone Number: | 7193953124 |
Fax Number: | 7193953128 |
NPI Enumeration Date: | 07/24/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |