Prime Care INC Mat-Su

NPI #1609128826 in Wasilla, Alaska

Provider Information

NPI Number: 1609128826
Entity Type: Organization
Organization Name: Prime Care INC Mat-Su
Subpart: Yes (part of a larger organization)
Parent Organization: PRIME CARE INC
Primary Specialty: Home Health
Enumeration Date: Oct 11, 2012
Last Updated: Oct 11, 2012

Practice Location

Address: 701 E PARKS HWY STE 207
City: Wasilla
State: Alaska
ZIP Code: 99654-8164
Phone: (907) 727-4090

Authorized Official

Name: GANIYU SHITTU
Title: PRESIDENT
Phone: (907) 727-4090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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