Organization
PRIME HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED JAWARA PTA (VICE PRESIDENT)
(301) 404-4898
Entity
Organization
Contact information
Practice address
10910 LITTLE PATUXENT PKWY STE 204, COLUMBIA, MD 21044-3092
(301) 404-4898
(301) 901-5270
Mailing address
11434 HIGH HAY DR, COLUMBIA, MD 21044-1027
(301) 404-4898
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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