# IMPERIAL PRIME LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** REFINED CARE COMPANIONSHIP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487539458
- **Authorized official:** CRYSTAL L EVANS CDM,CFPP; ALF ADMIN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (754) 777-0132

## Contact information

- **Practice address:** 704 NW 22ND RD, FT LAUDERDALE, FL 33311-6831
- **Practice address phone:** (386) 517-3102
- **Mailing address:** 704 NW 22ND RD, FT LAUDERDALE, FL 33311-6831
- **Mailing address phone:** (386) 517-3102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/08/2025
- **Last updated:** 08/08/2025