Provider Demographics
NPI:1972060515
Name:PRIMUS HEALTH INC
Entity Type:Organization
Organization Name:PRIMUS HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLATOMI
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMORI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:443-929-3974
Mailing Address - Street 1:7130 WATER OAK RD
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-6515
Mailing Address - Country:US
Mailing Address - Phone:443-929-3974
Mailing Address - Fax:
Practice Address - Street 1:7130 WATER OAK RD
Practice Address - Street 2:
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-6515
Practice Address - Country:US
Practice Address - Phone:443-929-3974
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-01
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility