Organization
PRIME CARE INC MAT-SU
Active
Parent organization
PRIME CARE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIME CARE INC
Authorized official
GANIYU SHITTU (PRESIDENT)
(907) 727-4090
Entity
Organization
Contact information
Practice address
701 E PARKS HWY STE 207, WASILLA, AK 99654-8164
(907) 727-4090
Mailing address
PO BOX 211706, ANCHORAGE, AK 99521-1706
(907) 727-4090
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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