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Organization
PRIMARY CARE SERVICES, INC.
Active
Organization
PRIMARY CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN ELIZABETH WOJCIK (ADMINISTRATOR/OWNER)
(561) 417-7901
Entity
Organization
Contact information
Practice address
2290 NW 2ND AVE, SUITE 6, BOCA RATON, FL 33431-7457
(561) 417-7901
(561) 417-7977
Mailing address
2290 NW 2ND AVE, SUITE 6, BOCA RATON, FL 33431-7457
(561) 417-7901
(561) 417-7977
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
29991460
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1249
HEALTH CARE SERVICES POOL
FL
01
—
29991460
HOME HEALTH AGENCY NON CERTIFIED LICENSE #
FL
Enumeration date
09/17/2012
Last updated
09/17/2012
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