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Organization
PRIME PROFESSIONAL HOME HEALTH INC
Active
Organization
PRIME PROFESSIONAL HOME HEALTH INC
Active
Other names
Prime Professional Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
SIMONE DESIREE KING (OWNER)
(804) 892-0604
Entity
Organization
Contact information
Practice address
13515A LAWING DR, SOUTH CHESTERFIELD, VA 23834-6018
(804) 892-0604
(804) 796-6257
Mailing address
13515A LAWING DR, SOUTH CHESTERFIELD, VA 23834-6018
(804) 892-0604
(804) 796-6257
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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