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Organization
PRIMECARE HOME CARE SERVICES, INC.
Active
Organization
PRIMECARE HOME CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA BERNARD FLOURNOY (ASSISTANT ADMINISTRATOR)
(478) 696-3534
Entity
Organization
Contact information
Practice address
1930 ROBIN CIR, MILLEDGEVILLE, GA 31061-2053
(478) 696-3534
(478) 451-0224
Mailing address
1930 ROBIN CIR, MILLEDGEVILLE, GA 31061-2053
(478) 696-3534
(478) 451-0224
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
005-R-0400
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334519490A
—
GA
05
—
334519490B
—
GA
Enumeration date
05/22/2009
Last updated
05/26/2009
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