Organization
PRIMARY PROVIDERS HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHARRON BUTTS (OWNER)
(856) 725-7354
Entity
Organization
Contact information
Practice address
5333 ANGORA TER, PHILADELPHIA, PA 19143-3113
(856) 725-7354
Mailing address
726 DARTMOOR AVE, WILLIAMSTOWN, NJ 08094-6310
(856) 725-7354
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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