Organization
PRIME INDEPENDENCE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMILYA AVSHALUMOVA (PRESIDENT)
(917) 386-7039
Entity
Organization
Contact information
Practice address
2299 E 13TH ST APT 2D, BROOKLYN, NY 11229-4348
(917) 386-7039
Mailing address
2299 E 13TH ST APT 2D, BROOKLYN, NY 11229-4348
(917) 386-7039
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/11/2017
Last updated
07/21/2022
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