PRIMARY HOME CARE NPI 1124062658

NPI Information

PRIMARY HOME CARE is an adult health nurse practitioner in Elkins Park, PA. PRIMARY HOME CARE NPI is 1124062658. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8080 OLD YORK RD
ELKINS PARK, PA
ZIP 19027-421
Phone: (215) 635-3151

The provider's authorized official is Jerry Driscoll .
The authorized official title is President and has the following contact phone number (215) 635-3151.

The CLIA number assigned to this NPI record is 39D1070524 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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