| NPI | 1528606068 |
|---|---|
| Doing Business As | PRIME PROFESSIONAL HOME CARE |
| Entity Type | Organization |
| Authorized Contact | SIMONE DESIREE KING Owner 804-892-0604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |