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NPI Code Detail

MEDICARE: PRESTIGE HOMECARE COMPANIONS

MEDICARE: PRESTIGE HOMECARE COMPANIONS
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1992225965
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRESTIGE HOMECARE COMPANIONS
Provider Business Mailing Address
First Line : 10752 DEERWOOD PARK BLVD STE 100
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-4846
Country : US
Telephone Number : 904-829-4381
Fax Number :
Provider Business Practice Location Address
First Line : 10752 DEERWOOD PARK BLVD STE 100
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-4846
Country : US
Telephone Number : 904-829-4381
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LAUREN OLSEN
Credential :
Telephone Number : 904-829-4381
Provider Enumeration Date : 06/21/2017
Last Update Date : 07/21/2022

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Directions to “PRESTIGE HOMECARE COMPANIONS ” Practice Location

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