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NPI Code Detail

MEDICARE: PRESTIGE HOME HEALTH CARE CORP.

MEDICARE: PRESTIGE HOME HEALTH CARE CORP.
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
1251E00000XHome Health AgencyFL

General Provider Information

NPI Number : 1124263025
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRESTIGE HOME HEALTH CARE CORP.
Provider Business Mailing Address
First Line : 8325 W 24TH AVE
Second Line : BAY 6
City : HIALEAH
State : FL
Zip : 33016-1880
Country : US
Telephone Number : 305-819-7074
Fax Number : 305-819-7077
Provider Business Practice Location Address
First Line : 8325 W 24TH AVE
Second Line : BAY 6
City : HIALEAH
State : FL
Zip : 33016-1880
Country : US
Telephone Number : 305-819-7074
Fax Number : 305-819-7077
Authorized Official
Title or Position : PRESIDENT
Name : MR. IVAN SAAVEDRA
Credential :
Telephone Number : 305-819-7074
Provider Enumeration Date : 12/05/2008
Last Update Date : 02/15/2012

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Directions to “PRESTIGE HOME HEALTH CARE CORP. ” Practice Location

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