Organization
PRIME LIFE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH THOMAS (OWNER)
(574) 395-3838
Entity
Organization
Contact information
Practice address
119 WEBER ST, SOUTH BEND, IN 46637-3348
(574) 395-3838
Mailing address
119 WEBER ST, SOUTH BEND, IN 46637-3348
(574) 395-3838
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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