Provider Demographics
NPI:1447676556
Name:PRIMROSE ESSENTIALS GROUP
Entity type:Organization
Organization Name:PRIMROSE ESSENTIALS GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-408-7753
Mailing Address - Street 1:7457 FRANKLIN RD
Mailing Address - Street 2:STE. 306
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48301-3611
Mailing Address - Country:US
Mailing Address - Phone:248-862-5325
Mailing Address - Fax:248-862-5261
Practice Address - Street 1:7457 FRANKLIN
Practice Address - Street 2:STE. 306
Practice Address - City:FRANKLIN VILLAGE
Practice Address - State:MI
Practice Address - Zip Code:48025
Practice Address - Country:US
Practice Address - Phone:248-862-5325
Practice Address - Fax:248-862-5261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-13
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health