Organization
PRIME HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALICK ISSAH (CLINICAL DIRECTOR)
(781) 632-7802
Entity
Organization
Contact information
Practice address
47 JOYCE LN, BOXBOROUGH, MA 01719-1534
(781) 632-7802
Mailing address
47 JOYCE LN, BOXBOROUGH, MA 01719-1534
(781) 632-7802
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
06/25/2020
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