Organization
PRIME CARE CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN L WALLACE (ADMINISTRATOR)
(757) 453-1180
Entity
Organization
Contact information
Practice address
3707 VIRGINIA BEACH BLVD STE 202, VIRGINIA BEACH, VA 23452-3412
(757) 453-1180
(757) 453-1187
Mailing address
3707 VIRGINIA BEACH BLVD STE 202, VIRGINIA BEACH, VA 23452-3412
(757) 453-1180
(757) 453-1187
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/26/2020
Last updated
12/10/2020
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