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Organization
PRIME CARE HEALTH AGENCY, INC
Active
Organization
PRIME CARE HEALTH AGENCY, INC
Active
Other names
Principle Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA GRIECO RN (ADMINISTRATOR)
(305) 591-7774
Entity
Organization
Contact information
Practice address
11440 N KENDALL DR STE 500, MIAMI, FL 33176-1025
(305) 591-7774
(305) 594-8951
Mailing address
11440 N KENDALL DR STE 500, MIAMI, FL 33176-1025
(305) 591-7774
(305) 594-8951
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA20960096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027021100
—
FL
05
—
027021101
—
FL
05
—
027021103
—
FL
05
—
027021196
—
FL
05
—
678246900
—
FL
01
—
JO6
BCBS
FL
Enumeration date
05/31/2005
Last updated
07/10/2019
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