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Organization

CAREPRIMA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAULETTE HAMILTON (GENERAL MANAGER)
(614) 300-0723
Entity
Organization

Contact information

Practice address
5979 E LIVINGSTON AVE STE 102, COLUMBUS, OH 43232-2908
(614) 300-0723
Mailing address
5979 E LIVINGSTON AVE STE 102, COLUMBUS, OH 43232-2908
(614) 300-0723

Taxonomy

Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
253Z00000X
In Home Supportive Care Agency
Primary
261QA0600X
Adult Day Care Clinic/Center
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle
3747P1801X
Personal Care Attendant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0348914
OH
Enumeration date
11/15/2019
Last updated
11/13/2020
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