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Organization
PRIME SUPPORT CARE INC
Active
Organization
PRIME SUPPORT CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZULEMA GONZALEZ SANCHEZ (CEO)
(305) 414-3653
Entity
Organization
Contact information
Practice address
12750 SW 128TH ST STE 203, MIAMI, FL 33186-5380
(305) 414-3653
Mailing address
15443 SW 184TH ST, MIAMI, FL 33187-1754
(305) 414-3653
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299995438
AGENCY FOR HEALTH CARE ADMINISTRATION
FL
Enumeration date
05/09/2018
Last updated
01/17/2022
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