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Organization
PRIME PLUS LLC
Active
Organization
PRIME PLUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATINA TAMBA (ADMINISTRATOR)
(832) 816-0970
Entity
Organization
Contact information
Practice address
7918 JONES BRANCH DR STE 404, MC LEAN, VA 22102-3319
(443) 673-7240
Mailing address
7918 JONES BRANCH DR FL 4, MC LEAN, VA 22102-3319
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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