# PRESTIGE HOME HEALTH CARE INC

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

## Provider details

- **NPI number:** 1194098301
- **Authorized official:** MR. ABID FAYYAZ CHAUDHRY (ADMINISTRATOR)
- **Authorized official phone:** (586) 871-3009

## Contact information

- **Practice address:** 17520 W 12 MILE RD, SUITE \# 212, SOUTHFIELD, MI 48076-1945
- **Practice address phone:** (586) 871-3009
- **Practice address fax:** (586) 843-3396
- **Mailing address:** 17520 W 12 MILE RD, SUITE \# 212, SOUTHFIELD, MI 48076-1945
- **Mailing address phone:** (586) 871-3009
- **Mailing address fax:** (586) 843-3396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 02/17/2012
- **Last updated:** 04/23/2012