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Organization
PRESCOTT HEALTHCARE LLC
Active
Organization
PRESCOTT HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATEEFAH AZIZ (ADMINISTRATOR)
(404) 883-3302
Entity
Organization
Contact information
Practice address
889 1/2 RALPH DAVID ABERNATHY BLVD SW, ATLANTA, GA 30310-1800
(404) 883-3302
(678) 515-0876
Mailing address
889 1/2 RALPH DAVID ABERNATHY BLVD SW, ATLANTA, GA 30310-1800
(404) 883-3302
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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