| NPI | 1952902835 |
|---|---|
| Doing Business As | PRIMARY CARE IN HOME |
| Entity Type | Organization |
| Authorized Contact | PRASANT H DESAI Admin 228-596-2449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251B00000X Case Management |
| 261Q00000X | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0801X | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-12-16 |