Organization
PRIME HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAPHA SUNO (OWNER)
(920) 265-3295
Entity
Organization
Contact information
Practice address
1225 NIMROD CT, OSHKOSH, WI 54902-2628
(920) 385-7616
(920) 744-1763
Mailing address
1510 DICKENSON CT, NEENAH, WI 54956-5061
(920) 385-7616
(920) 744-1763
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/21/2020
Last updated
05/26/2020
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