Prime Living Care LLC
In Home Supportive Care in Valley Stream, NY. Organization (NPI-2).
NPI number1255855870
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1255855870
- Entity type
- Organization (NPI-2)
- Legal business name
- Prime Living Care LLC
- Organization subpart
- No
- Enumeration date
- Jul 26, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
430 W Merrick Rd Ste 21Valley Stream, NY 11580-5201
Phone 786-853-8863
Mailing address
430 W Merrick Rd Ste 21Valley Stream, NY 11580-5201
Phone 786-853-8863
Authorized official
Samuel Nelson
Owner
7868538863
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All 9 In Home Supportive Care Agency providers in Valley Stream · All 2,560 providers in Valley Stream
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