# PRIMECARE SPEECH SERVICES LLC

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

## Provider details

- **NPI number:** 1831088806
- **Authorized official:** GINA MENDELLA MS., CCC-SLP (SPEECH LANGUAGE PATHOLGIST)
- **Authorized official phone:** (954) 789-1694

## Contact information

- **Practice address:** 220 SE 2ND ST APT 1218, FORT LAUDERDALE, FL 33301-4183
- **Practice address phone:** (954) 789-1694
- **Mailing address:** 220 SE 2ND ST APT 1218, FORT LAUDERDALE, FL 33301-4183
- **Mailing address phone:** (954) 789-1694

## Taxonomy

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

## Other

- **Enumeration date:** 07/02/2025
- **Last updated:** 07/02/2025