Provider Demographics
NPI:1821395542
Name:PRIME VERITAS LLC
Entity Type:Organization
Organization Name:PRIME VERITAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLAWUNMI
Authorized Official - Middle Name:YETUNDE
Authorized Official - Last Name:OGUN-SEMORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-895-3787
Mailing Address - Street 1:981 WOODWARD PARK DR
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-2861
Mailing Address - Country:US
Mailing Address - Phone:770-895-3787
Mailing Address - Fax:
Practice Address - Street 1:981 WOODWARD PARK DRIVE
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024
Practice Address - Country:US
Practice Address - Phone:770-895-3787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-15
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health