Organization
PRIME PROFESSIONAL HOME HEALTH INC
Active
Other names
Prime Professional Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
SIMONE DESIREE KING (OWNER)
(804) 892-0604
Entity
Organization
Contact information
Practice address
13515A LAWING DR, SOUTH CHESTERFIELD, VA 23834-6018
(804) 892-0604
(804) 796-6257
Mailing address
13515A LAWING DR, SOUTH CHESTERFIELD, VA 23834-6018
(804) 892-0604
(804) 796-6257
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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