Provider Demographics
NPI:1518155795
Name:PRIMARY HOME CARE
Entity Type:Organization
Organization Name:PRIMARY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:VASEY
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:989-793-6674
Mailing Address - Street 1:300 SAINT ANDREWS RD
Mailing Address - Street 2:SUITE 408
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48638-5977
Mailing Address - Country:US
Mailing Address - Phone:989-793-6674
Mailing Address - Fax:989-793-7521
Practice Address - Street 1:300 SAINT ANDREWS RD
Practice Address - Street 2:SUITE 408
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48638-5977
Practice Address - Country:US
Practice Address - Phone:989-793-6674
Practice Address - Fax:989-793-7521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health