# PRIMECARE HOME CARE SERVICES, INC.

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

## Provider details

- **NPI number:** 1962637728
- **Authorized official:** MR. JOSHUA BERNARD FLOURNOY (ASSISTANT ADMINISTRATOR)
- **Authorized official phone:** (478) 696-3534

## Contact information

- **Practice address:** 1930 ROBIN CIR, MILLEDGEVILLE, GA 31061-2053
- **Practice address phone:** (478) 696-3534
- **Practice address fax:** (478) 451-0224
- **Mailing address:** 1930 ROBIN CIR, MILLEDGEVILLE, GA 31061-2053
- **Mailing address phone:** (478) 696-3534
- **Mailing address fax:** (478) 451-0224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 005-R-0400 | GA | Yes |

## Other

- **Enumeration date:** 05/22/2009
- **Last updated:** 05/26/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 334519490A | — | GA |
| 05 | — | 334519490B | — | GA |