Organization
PRIME CARE WORLD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER GLOTOV SHTEIN (PRESIDENT)
(805) 668-3228
Entity
Organization
Contact information
Practice address
188 W TEFFT ST UNIT B, NIPOMO, CA 93444-9669
(805) 668-3228
Mailing address
110 S MARY AVE, STE 2/131, NIPOMO, CA 93444
(805) 668-3228
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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