Provider Demographics
NPI:1245743038
Name:PREMIER COMMUNITY CARE,LLC
Entity Type:Organization
Organization Name:PREMIER COMMUNITY CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIE-CHANTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:GHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-644-1937
Mailing Address - Street 1:1995 S HALL ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-8521
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1995 S HALL ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-8521
Practice Address - Country:US
Practice Address - Phone:202-644-1937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-15
Last Update Date:2017-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health