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Organization
PRIMARY MEDICAL HOMECARE LLC
Active
Organization
PRIMARY MEDICAL HOMECARE LLC
Active
Parent organization
PRIMARY MEDICAL HOMECARE 'PMH' LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIMARY MEDICAL HOMECARE 'PMH' LLC
Authorized official
DR. REDA COSTON PSY.D/PH.D (HEALTHCARE ADMINISTRATOR)
(404) 800-5550
Entity
Organization
Contact information
Practice address
2480 WINDY HILL RD SE STE 206, MARIETTA, GA 30067-8656
(404) 800-5550
Mailing address
2480 WINDY HILL RD SE STE 206, MARIETTA, GA 30067-8656
(404) 800-5550
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
NULL
101YP1600X
Pastoral Counselor
—
—
163WC0400X
Case Management Registered Nurse
—
NULL
163WC0400X
Case Management Registered Nurse
—
—
177F00000X
Lodging Provider
—
NULL
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
251F00000X
Home Infusion Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
347C00000X
Private Vehicle
—
NULL
374700000X
Technician
—
NULL
374700000X
Technician
—
—
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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