# PRIMARY CARE HOME SERVICES INC

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

## Provider details

- **NPI number:** 1679011316
- **Authorized official:** DAMARYS E MOREJON (PRESIDENT)
- **Authorized official phone:** (786) 391-5864

## Contact information

- **Practice address:** 14914 SW 37TH ST, MIAMI, FL 33185
- **Practice address phone:** (786) 391-5864
- **Practice address fax:** (305) 382-5702
- **Mailing address:** 14914 SW 37TH ST, MIAMI, FL 33185-3941
- **Mailing address phone:** (786) 391-5864
- **Mailing address fax:** (305) 382-5702

## Taxonomy

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

## Other

- **Enumeration date:** 02/02/2017
- **Last updated:** 10/31/2019