Organization
PRIMECARE HOME CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA BERNARD FLOURNOY (ASSISTANT ADMINISTRATOR)
(478) 696-3534
Entity
Organization
Contact information
Practice address
1930 ROBIN CIR, MILLEDGEVILLE, GA 31061-2053
(478) 696-3534
(478) 451-0224
Mailing address
1930 ROBIN CIR, MILLEDGEVILLE, GA 31061-2053
(478) 696-3534
(478) 451-0224
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
005-R-0400
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334519490A
—
GA
05
—
334519490B
—
GA
Enumeration date
05/22/2009
Last updated
05/26/2009
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