Provider Demographics
NPI:1376734400
Name:PRIMO HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:PRIMO HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ZAFAR
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHMOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-644-0596
Mailing Address - Street 1:317 ECORSE RD
Mailing Address - Street 2:SUITE 14
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48198-5787
Mailing Address - Country:US
Mailing Address - Phone:734-547-0629
Mailing Address - Fax:734-484-1689
Practice Address - Street 1:317 ECORSE RD
Practice Address - Street 2:SUITE 14
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48198-5787
Practice Address - Country:US
Practice Address - Phone:734-547-0629
Practice Address - Fax:734-484-1689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health