# PRIMECARE ADULT & SENIOR HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PrimeCare Adult & Senior Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760264717
- **Authorized official:** LAKESHA M ADDISON-HARRIS CRNP (NURSE PRACTITIONER)
- **Authorized official phone:** (443) 867-8935

## Contact information

- **Practice address:** 7310 RITCHIE HWY STE 200, GLEN BURNIE, MD 21061-3065
- **Practice address phone:** (443) 867-8935
- **Mailing address:** 7310 RITCHIE HWY STE 200, GLEN BURNIE, MD 21061-3065
- **Mailing address phone:** (443) 867-8935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2023
- **Last updated:** 10/16/2023