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General NPI Number Information
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NPI Number | 1811573348
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Entity Type | Organization
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Legal Business Name | PRESTIGIOUS CARE HOME HEALTH SERVICES
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Dates
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Enumeration Date | 03/23/2021
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Last Update Date | 02/09/2023
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Provider Practice Location Address
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Address Line | 27801 EUCLID AVE STE 512
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City | EUCLID
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State | OH
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Zip | 44132-3500
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Country | US
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Telephone | 216-288-4469
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Fax |
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Provider Business Mailing Address
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Address Line | 2091 MIAMI RD
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City | EUCLID
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State | OH
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Zip | 44117-2436
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Country | US
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Telephone | 216-288-4469
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Fax |
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Authorized Official
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Title or Position | OFFICE MANGER, RN SUPERVISOR
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Name | GIONNA V PARKER
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Credential |
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Telephone | 216-288-4469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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