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Organization

PRIME HOME HEALTHCARE LLC

Active
Find providers by NPI
Organization

PRIME HOME HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOHAMMED JAWARA PTA (VICE PRESIDENT)
(301) 404-4898
Entity
Organization

Contact information

Practice address
10910 LITTLE PATUXENT PKWY STE 204, COLUMBIA, MD 21044-3092
(301) 404-4898
(301) 901-5270
Mailing address
11434 HIGH HAY DR, COLUMBIA, MD 21044-1027
(301) 404-4898

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
Primary
—
NULL

Other

Enumeration date
03/25/2024
Last updated
03/25/2024
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