Provider Demographics
NPI:1750170270
Name:PRISCY HEALTHCARE INC
Entity type:Organization
Organization Name:PRISCY HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLUSOLA
Authorized Official - Middle Name:PRISCILLA
Authorized Official - Last Name:ODESANYA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:240-893-7775
Mailing Address - Street 1:3819 SALIDA CT
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63034-1017
Mailing Address - Country:US
Mailing Address - Phone:240-893-7775
Mailing Address - Fax:
Practice Address - Street 1:3819 SALIDA CT
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63034-1017
Practice Address - Country:US
Practice Address - Phone:240-893-7775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health