Organization
PRIMARY HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANA LOUISE PRIME R.N. (VICE-PRESIDENT)
(719) 577-4272
Entity
Organization
Contact information
Practice address
111 E POLK STREET, COLORADO SPRINGS, CO 80907-6227
(719) 577-4272
(719) 227-9272
Mailing address
111 E. POLK STREET, COLORADO SPRINGS, CO 80907-6227
(719) 577-4272
(719) 227-9272
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
04K988
CO
253Z00000X
In Home Supportive Care Agency
Primary
04O244
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41652576
—
CO
Enumeration date
05/25/2016
Last updated
01/19/2022
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