Organization
PRIME LIVING CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL NELSON (OWNER)
(786) 853-8863
Entity
Organization
Contact information
Practice address
430 W MERRICK RD STE 21, VALLEY STREAM, NY 11580-5201
(786) 853-8863
Mailing address
430 W MERRICK RD STE 21, VALLEY STREAM, NY 11580-5201
(786) 853-8863
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/26/2017
Last updated
07/21/2022
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