Provider Demographics
NPI:1932834512
Name:PRIORITY HEALTH AND HOME CARE
Entity Type:Organization
Organization Name:PRIORITY HEALTH AND HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LASHONDA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:LYMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-649-7451
Mailing Address - Street 1:1411 E 122ND ST APT 3
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-6853
Mailing Address - Country:US
Mailing Address - Phone:952-649-7451
Mailing Address - Fax:
Practice Address - Street 1:1411 E 122ND ST APT 3
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-6853
Practice Address - Country:US
Practice Address - Phone:952-649-7451
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health