Organization
PRIME HEALTH GROUP AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRICE PATRICK (EXECUTIVE DIRECTOR)
(816) 321-2399
Entity
Organization
Contact information
Practice address
1601 E 18TH ST STE 206B, KANSAS CITY, MO 64108-1680
(816) 299-0285
Mailing address
1601 E 18TH ST STE 206B, KANSAS CITY, MO 64108-1680
(816) 299-0285
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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