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Organization
PRIORITY ONE HOME CARE, LLC
Active
Organization
PRIORITY ONE HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA DAWN VEST II RRT (PRESIDENT)
(304) 425-4006
Entity
Organization
Contact information
Practice address
2057 ATHENS ROAD, PRINCETON, WV 24739-6258
(304) 425-4006
(304) 425-4019
Mailing address
PO BOX 5611, PRINCETON, WV 24739-5611
(304) 425-4006
(304) 425-4019
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
WV
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001757231
MOUNTAIN STATE BC/BS
WV
05
—
010190401
—
VA
05
—
3810002792
—
WV
01
—
609435200
FED. BLACK LUNG/WORK COMP
WV
Enumeration date
06/02/2006
Last updated
07/21/2022
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