Organization Name: | PREMIER HOME CARE, INC |
NPI Number: | 1518275767 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAWANNA LOU BEST (CEO) |
Mailing Address: | 301 Hwy 24 N Buena Vista |
State: | CO US |
Postal Code: | 81211 |
Phone Number: | 7193953124 |
Fax Number: | 7193953128 |
NPI Enumeration Date: | 09/22/2010 |
NPI Last Update Date: | 09/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 160003053 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |