| NPI | 1326381401 |
|---|---|
| Former Legal Business Name | PRIME HOME CARE INCORPORATED |
| Entity Type | Organization |
| Authorized Contact | EDOLO AZENABOR Administrator 214-418-8240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 225100000X Physical Therapist |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2021-01-20 |