Organization
PRIME HOME HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM D FERNANDEZ SR. (PRESIDENT)
(847) 803-8550
Entity
Organization
Contact information
Practice address
2604 DEMPSTER ST, SUITE 407, PARK RIDGE, IL 60068-8412
(847) 803-8550
(847) 803-6819
Mailing address
2604 DEMPSTER ST, SUITE 407, PARK RIDGE, IL 60068-8412
(847) 803-8550
(847) 803-6819
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010473
IL
Other
Enumeration date
07/18/2006
Last updated
05/18/2016
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