# PRIMORDIAL HEALTH SERVICES

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

## Provider details

- **NPI number:** 1558227413
- **Authorized official:** CLARETHA BROWN (OWNER/OPERATOR)
- **Authorized official phone:** (470) 955-1708

## Contact information

- **Practice address:** 3436 DANA GREY DR \# B, EL PASO, TX 79938-2208
- **Practice address phone:** (830) 399-3602
- **Mailing address:** 3436 DANA GREY DR \# B, EL PASO, TX 79938-2208
- **Mailing address phone:** (830) 399-3602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/05/2026
- **Last updated:** 01/05/2026