Healthcare Provider Details

I. General information

NPI: 1821905746
Provider Name (Legal Business Name): PYFA PRESTIGE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 YONAH WAY
DALLAS GA
30132-5004
US

IV. Provider business mailing address

83 YONAH WAY
DALLAS GA
30132-5004
US

V. Phone/Fax

Practice location:
  • Phone: 774-408-0254
  • Fax:
Mailing address:
  • Phone: 774-408-0254
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MRS. FAIZEY AGYEPONG
Title or Position: CEO
Credential:
Phone: 774-408-0254