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NPI Code Detail

MEDICARE: PRIMARY HOME CARE

MEDICARE: PRIMARY HOME CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1518155795
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIMARY HOME CARE
Provider Business Mailing Address
First Line : 300 SAINT ANDREWS RD
Second Line : SUITE 408
City : SAGINAW
State : MI
Zip : 48638-5977
Country : US
Telephone Number : 989-793-6674
Fax Number : 989-793-7521
Provider Business Practice Location Address
First Line : 300 SAINT ANDREWS RD
Second Line : SUITE 408
City : SAGINAW
State : MI
Zip : 48638-5977
Country : US
Telephone Number : 989-793-6674
Fax Number : 989-793-7521
Authorized Official
Title or Position : OWNER
Name : RON VASEY
Credential : OWNER
Telephone Number : 989-793-6674
Provider Enumeration Date : 10/12/2007
Last Update Date : 10/12/2007

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Directions to “PRIMARY HOME CARE ” Practice Location

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