Professional Premium Services Inc

LBN: Professional Premium Services Inc
Professional Premium Services Inc is an health care organization with primary practice located at 2470 Windy Hill Rd Se Num 366C, Marietta GA 30067-8613. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Professional Premium Services Inc can be contacted via phone (404) 414-2523, or through Acosta, Yesdel via phone (404) 414-2523.

Contact Information

Primary practice address
2470 Windy Hill Rd Se Num 366C Marietta GA 30067-8613
Fax: (404) 393-8880
Website:
Authorized official contact:
Name: Acosta, Yesdel

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X Georgia

Profile Details

NPI number 1366821365
LBN Legal business name Professional Premium Services Inc
DBA Doing business as
Authorized official Acosta, Yesdel
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2015
Last updated Aug 5th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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