PRIME PROVIDERS ID LLC

BOISE, ID
NPI1063124428
Entity TypeOrganization
Authorized ContactJONATHAN SASSOVER
Authorized Signatory
818-377-6202
Organization Subpart ?No
Primary Taxonomy253Z00000X In Home Supportive Care
Enumeration Date2022-12-16
Last Update Date2022-12-16
Business Address
PRIME PROVIDERS ID LLC
950 W BANNOCK ST STE 1100
BOISE, ID 83702-6140
Phone number: 208-900-6330
Mailing Address
PRIME PROVIDERS ID LLC
4200 SEPULVEDA BLVD STE 101
CULVER CITY, CA 90230-4742
Phone number:
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