Organization
PRIME ONE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHENIE A HUMPHRIES (OWNER)
(954) 536-2354
Entity
Organization
Contact information
Practice address
321 ARNOLD AVE, PONTIAC, MI 48341-1061
(954) 536-2354
Mailing address
5119 HIGHLAND RD STE 268, WATERFORD, MI 48327-1915
(954) 536-2354
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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