Premium Care Health Services, LLC
In Home Supportive Care in Miami, FL. Organization (NPI-2).
NPI number1760051171
StatusActive
Last updated in NPPESMay 13, 2022
Details
- NPI
- 1760051171
- Entity type
- Organization (NPI-2)
- Legal business name
- Premium Care Health Services, LLC
- Organization subpart
- No
- Enumeration date
- Jun 21, 2021
- Certification date
- May 13, 2022
- Last updated
- May 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 3747A0650X | Technician, Attendant Care Provider | – | – |
Practice location
10300 Sw 72nd St Ste 200Miami, FL 33173-3040
Phone 305-336-6275 · Fax 786-254-5162
Mailing address
10300 Sw 72nd St Ste 200Miami, FL 33173-3040
Phone 305-336-6275 · Fax 786-254-5162
Authorized official
Luisa Rondon-Lassen
Administrator
3053366275
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