# PRIME CARE CONSULTANTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518570860
- **Authorized official:** MR. JOHN L WALLACE (ADMINISTRATOR)
- **Authorized official phone:** (757) 453-1180

## Contact information

- **Practice address:** 3707 VIRGINIA BEACH BLVD STE 202, VIRGINIA BEACH, VA 23452-3412
- **Practice address phone:** (757) 453-1180
- **Practice address fax:** (757) 453-1187
- **Mailing address:** 3707 VIRGINIA BEACH BLVD STE 202, VIRGINIA BEACH, VA 23452-3412
- **Mailing address phone:** (757) 453-1180
- **Mailing address fax:** (757) 453-1187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 08/26/2020
- **Last updated:** 12/10/2020