Organization
PRIMECARE HOME CARE SERVICES OF SOUTH DAKOTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARIS FLOURNOY (CEO)
(404) 904-4276
Entity
Organization
Contact information
Practice address
515 W 41ST ST UNIT 1035, SIOUX FALLS, SD 57105-6401
(404) 904-4276
Mailing address
515 W 41ST ST UNIT 1035, SIOUX FALLS, SD 57105-6401
(404) 904-4276
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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