# PRESTIGE SUPPORT COORDINATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154739274
- **Authorized official:** ANDREA PETERS (PRESIDENT)
- **Authorized official phone:** (407) 680-4851

## Contact information

- **Practice address:** 736 LAKE DOE BLVD, APOPKA, FL 32703-1616
- **Practice address phone:** (407) 680-4851
- **Mailing address:** 736 LAKE DOE BLVD, APOPKA, FL 32703-1616
- **Mailing address phone:** (407) 680-4851

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/01/2014
- **Last updated:** 08/01/2014