Provider Demographics
NPI:1780205849
Name:PRIMROSE CARE
Entity Type:Organization
Organization Name:PRIMROSE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOYCELLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUGORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-964-6701
Mailing Address - Street 1:937 OAKCREST DR
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-6978
Mailing Address - Country:US
Mailing Address - Phone:773-964-6701
Mailing Address - Fax:
Practice Address - Street 1:937 OAKCREST DR
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-6978
Practice Address - Country:US
Practice Address - Phone:773-964-6701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-29
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty