Organization
PRIME CARE NURSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN BARNES RN (PRESIDENT)
(601) 849-3019
Entity
Organization
Contact information
Practice address
222 ARNOLD AVE, GREENVILLE, MS 38701-4203
(662) 335-4298
(662) 335-8298
Mailing address
PO BOX 852, GREENVILLE, MS 38702-0852
(662) 335-4298
(662) 335-8298
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
251J00000X
Nursing Care Agency
Primary
R513563
MS
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770095
—
MS
05
—
00770096
—
MS
05
—
00770605
—
MS
05
—
00770606
—
MS
05
—
09477569
—
MS
Enumeration date
03/08/2007
Last updated
12/14/2016
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