| NPI | 1174156236 |
|---|---|
| Former Legal Business Name | PRESTIGE HOME AND COMMUNITY SUPPORT INC |
| Entity Type | Organization |
| Authorized Contact | JOHN S SMITH Vice President 202-915-4331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-02-18 |