Organization
PRIME HOME HEALTH, LLC
Active
Other names
Signature Healthcare at Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT THOMAS PT, MSPT (PRESIDENT)
(971) 979-0774
Entity
Organization
Contact information
Practice address
909 S 336TH ST STE 100, FEDERAL WAY, WA 98003-7394
(253) 661-5166
(253) 661-5359
Mailing address
7632 SW DURHAM RD STE 105, TIGARD, OR 97224-7597
(844) 744-2200
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/15/2006
Last updated
08/11/2023
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