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Organization

PRIME LIFE LLC

Active
Other names
PRIME LIFE LLC
Organization subpart
No

Provider details

NPI number
Authorized official
IHTESHAM KHAN (CEO)
(999) 999-9999
Entity
Organization

Contact information

Practice address
2209 KELTRIP CT, SILVER SPRING, MD 20906-1144
(999) 999-9999
Mailing address
2209 KELTRIP CT, SILVER SPRING, MD 20906-1144
(999) 999-9999

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
03/26/2025
Last updated
01/29/2026
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