Organization
PRIMAL HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MORTEN (AUTHORIZED AGENT)
(313) 355-2841
Entity
Organization
Contact information
Practice address
18530 MACK AVE # 454, GROSSE POINTE FARMS, MI 48236-3254
(313) 884-8440
Mailing address
18530 MACK AVE # 454, GROSSE POINTE FARMS, MI 48236-3254
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/24/2015
Last updated
06/14/2016
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