Provider Demographics
NPI:1245776319
Name:PRIORITY CARE HOME HEALTH AND COMPANION SERVICES
Entity Type:Organization
Organization Name:PRIORITY CARE HOME HEALTH AND COMPANION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:CANDICE
Authorized Official - Middle Name:YOLANDA
Authorized Official - Last Name:BRINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-935-5666
Mailing Address - Street 1:150 W WASHINGTON ST STE F
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-5229
Mailing Address - Country:US
Mailing Address - Phone:757-935-5666
Mailing Address - Fax:
Practice Address - Street 1:150 W WASHINGTON ST STE F
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-5229
Practice Address - Country:US
Practice Address - Phone:757-935-5666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-13
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health