Organization
PRIME HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARK LIBKIND (PRESIDENT)
(267) 872-5440
Entity
Organization
Contact information
Practice address
9735 BUSTLETON AVE, SUITE 2N, PHILADELPHIA, PA 19115-1109
(800) 515-0526
(800) 905-7584
Mailing address
9735 BUSTLETON AVE, SUITE 2N, PHILADELPHIA, PA 19115
(800) 515-0526
(800) 905-7584
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033613590001
—
PA
Enumeration date
09/10/2018
Last updated
01/24/2023
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