Organization
PRIMECARE ADVANTAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY M. HAY (OPERATING MANAGER)
(954) 292-6393
Entity
Organization
Contact information
Practice address
141 NW 35TH CT, OAKLAND PARK, FL 33309-5209
(954) 567-0665
(954) 567-0665
Mailing address
141 NW 35TH CT, OAKLAND PARK, FL 33309-5209
(954) 567-0665
(954) 567-0665
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/18/2007
Last updated
08/22/2020
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