| NPI | 1265802433 |
|---|---|
| Doing Business As | PRIMARY HOME HEALTH CARE |
| Entity Type | Organization |
| Authorized Contact | ENRIQUE CROCKETT Owner / Member 617-299-0719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |