Provider Demographics
NPI:1205126869
Name:PREEMINENT CARE INC.
Entity type:Organization
Organization Name:PREEMINENT CARE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-829-0034
Mailing Address - Street 1:700 CINNAMINSON AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PALMYRA
Mailing Address - State:NJ
Mailing Address - Zip Code:08065-2500
Mailing Address - Country:US
Mailing Address - Phone:856-829-0034
Mailing Address - Fax:856-829-0223
Practice Address - Street 1:700 CINNAMINSON AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:PALMYRA
Practice Address - State:NJ
Practice Address - Zip Code:08065-2500
Practice Address - Country:US
Practice Address - Phone:856-829-0034
Practice Address - Fax:856-829-0223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-15
Last Update Date:2011-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health