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Organization

PRIME HOME HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOHAMMED JAWARA (VICE PRESIDENT)
(301) 404-4898
Entity
Organization

Contact information

Practice address
10910 LITTLE PATUXENT PKWY STE 204, COLUMBIA, MD 21044-3092
(301) 814-8457
Mailing address
10910 LITTLE PATUXENT PKWY STE 204, COLUMBIA, MD 21044-3092
(301) 814-8457

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary

Other

Enumeration date
01/06/2026
Last updated
01/06/2026
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