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NPI Code Detail

MEDICARE: PRESTIGE HEALTHCARE RESOURCES INC.

MEDICARE: PRESTIGE HEALTHCARE RESOURCES INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1215691738
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRESTIGE HEALTHCARE RESOURCES INC.
Provider Business Mailing Address
First Line : 9500 MEDICAL CENTER DR STE 104
Second Line :
City : LARGO
State : MD
Zip : 20774-3703
Country : US
Telephone Number : 240-334-4394
Fax Number :
Provider Business Practice Location Address
First Line : 9500 MEDICAL CENTER DR STE 104
Second Line :
City : LARGO
State : MD
Zip : 20774-3703
Country : US
Telephone Number : 240-334-4394
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. JOHN SAYE SMITH JR.
Credential : RN
Telephone Number : 202-796-5000
Provider Enumeration Date : 10/30/2021
Last Update Date : 10/30/2021

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Directions to “PRESTIGE HEALTHCARE RESOURCES INC. ” Practice Location

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