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Premium Care Mihp LLC

Public Health or Welfare in Farmington Hills, MI. Organization (NPI-2).

NPI number1104797182
StatusActive
Last updated in NPPESMay 7, 2026

Details

NPI
1104797182
Entity type
Organization (NPI-2)
Legal business name
Premium Care Mihp LLC
Organization subpart
No
Enumeration date
Sep 15, 2025
Certification date
May 7, 2026
Last updated
May 7, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251K00000X Public Health or Welfare––Yes

Practice location

31563 Bristol Ln
Farmington Hills, MI 48334-2916

Phone 248-215-2686 · Fax 248-919-6424

Mailing address

31563 Bristol Ln
Farmington Hills, MI 48334-2916

Phone 248-215-2686 · Fax 248-919-6424

Authorized official

D'Anna Gilbreath
Coordinator
2482152686

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