| Premier Personal Health Services, Llc | |
|
8025 Wilkerson Ln Palmetto GA 30268-8626 | |
| (404) 819-9665 | |
| (678) 624-6030 |
| Full Name | Premier Personal Health Services, Llc |
|---|---|
| Speciality | Home Health |
| Location | 8025 Wilkerson Ln, Palmetto, Georgia |
| Authorized Official Name and Position | Lisa Yvonne Bradshaw-small (CEO) |
| Authorized Official Contact | 4048199665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Personal Health Services, Llc 6269 Greenock Dr Stone Mountain GA 30087-6081 Ph: (404) 819-9665 | Premier Personal Health Services, Llc 8025 Wilkerson Ln Palmetto GA 30268-8626 Ph: (404) 819-9665 |
| NPI Number | 1205100591 |
|---|---|
| Provider Enumeration Date | 03/04/2012 |
| Last Update Date | 08/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205100591 | NPI | - | NPPES |
| 003112727A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251J00000X | Nursing Care | (* (Not Available)) | Secondary |
| 251E00000X | Home Health | (* (Not Available)) | Primary |
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