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Organization
CMS PRIMARY HOME HEALTH CARE LLC
Active
Organization
CMS PRIMARY HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMAKA SHANTA GRAHAM (OWNER)
(972) 703-3448
Entity
Organization
Contact information
Practice address
101 E PARK BLVD STE 352, PLANO, TX 75074-5483
(972) 703-3448
(800) 867-0804
Mailing address
101 E PARK BLVD STE 352, PLANO, TX 75074-5704
(318) 779-2326
(800) 867-0804
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
01/18/2021
Last updated
05/09/2025
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