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Premium Life Care, Inc.,
Home Health Agency in San Luis Obispo, California
NPI 1255578803

Premium Life Care, Inc., is a Home Health Agency based in San Luis Obispo, CA. Premium Life Care, Inc., practices in San Luis Obispo, CA. The NPI Number for Premium Life Care, Inc., is 1255578803 and holds a License No. (California).

The current practice location address for Premium Life Care, Inc., is 3220 S Higuera St, San Luis Obispo, CA and can be reached out via phone at 805-548-8811 and via fax at 805-242-0676.

Location: 3220 S Higuera St, San Luis Obispo, CA, 93401-6987
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255578803
Provider Name
Premium Life Care, Inc.,
Credential
Provider Entity Type
Organization
Address
3220 S Higuera St, San Luis Obispo, CA, 93401-6987
Phone Number
805-548-8811
Fax Number
805-242-0676
Provider Enumeration Date
01/18/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
550003349 01 CA STATE HOME HEALTH AGENCY LICENSE
institution
Provider Business Practice Location Address Details
Address
3220 S Higuera St
City
San Luis Obispo
State
California
Zip
93401-6987
Phone Number
805-548-8811
Fax Number
805-242-0676
person
Provider Business Mailing Address Details
Address
3220 S Higuera St
City
San Luis Obispo
State
California
Zip
93401-6987
Phone Number
805-548-8811
Fax Number
805-242-0676
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
(California)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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