Provider Demographics
NPI:1609325414
Name:PRIMECARE INC
Entity Type:Organization
Organization Name:PRIMECARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:UCHENNA
Authorized Official - Middle Name:EMMANUELLA
Authorized Official - Last Name:NWANKWO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-499-2699
Mailing Address - Street 1:18027 DUMFRIES SHOPPING PLZ
Mailing Address - Street 2:SUITE 5
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22026-2356
Mailing Address - Country:US
Mailing Address - Phone:571-406-6606
Mailing Address - Fax:571-931-6186
Practice Address - Street 1:18027 DUMFRIES SHOPPING PLZ
Practice Address - Street 2:SUITE 5
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22026-2356
Practice Address - Country:US
Practice Address - Phone:571-406-6606
Practice Address - Fax:571-931-6186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-22
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO171421251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health