| Organization Name: | PRIMERA HOME HEALTHCARE |
| NPI Number: | 1124001805 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES LAWRENCE CANTERBURY (OWNER) |
| Mailing Address: | 450 W Maple St Hartville |
| State: | OH US |
| Postal Code: | 446329649 |
| Phone Number: | 3306868317 |
| Fax Number: | 3306868317 |
| NPI Enumeration Date: | 11/27/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | 135988 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |