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Organization
PRIMARY HOME HEALTH CARE, INC.
Active
Organization
PRIMARY HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANA LOUISE PRIME R.N. (VICE-PRESIDENT)
(719) 577-4272
Entity
Organization
Contact information
Practice address
111 E. POLK STREET, COLORADO SPRINGS, CO 80907-6227
(719) 577-4272
(719) 227-9272
Mailing address
111 E. POLK STREET, 111 E. POLK STREET, COLORADO SPRINGS, CO 80909-6227
(719) 577-4272
(719) 227-9272
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
04G501
CO
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
04K988
CO
376J00000X
Homemaker
040244
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37422791
—
CO
05
—
41652576
—
CO
Enumeration date
02/21/2008
Last updated
11/07/2016
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