| NPI | 1780457879 |
|---|---|
| Former Legal Business Name | PRIMECARE PRO |
| Entity Type | Organization |
| Authorized Contact | YOLANDA CHAVEZ MACADANGDANG Controller 808-520-0034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2023-11-01 |