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Organization
PRIMELIFE GROUP LL
Active
Organization
PRIMELIFE GROUP LL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANDRA WRIGHT (SECRETARY)
(863) 391-8379
Entity
Organization
Contact information
Practice address
262 CHAPMAN RD STE 240, NEWARK, DE 19702-5454
(863) 391-8379
Mailing address
262 CHAPMAN RD STE 240, NEWARK, DE 19702-5454
(863) 391-8379
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
NULL
171W00000X
Contractor
—
—
251E00000X
Home Health Agency
Primary
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
09/25/2026
Last updated
09/25/2026
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