Organization
PRIME MISSION HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE-ANN JAMES-LEWIS NURSE (OWNER)
(678) 779-1936
Entity
Organization
Contact information
Practice address
120 MUIRFIELD DR, COVINGTON, GA 30016-6535
(470) 685-1099
Mailing address
120 MUIRFIELD DR, COVINGTON, GA 30016-6535
(470) 685-1099
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
06/08/2021
Last updated
05/05/2022
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