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Organization
PRIME HOME CARE LLC
Active
Organization
PRIME HOME CARE LLC
Active
Other names
Prime Home Care, Prime Home Care llc
Organization subpart
No
Provider details
NPI number
Authorized official
NICODHIA PAUL MHA (ADMINISTRATOR)
(561) 705-1212
Entity
Organization
Contact information
Practice address
7157 W OAKLAND PARK BLVD, LAUDERHILL, FL 33313-1038
(954) 520-7005
(772) 600-3651
Mailing address
7157 W OAKLAND PARK BLVD, LAUDERHILL, FL 33313-1038
(954) 520-7005
(772) 600-3651
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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