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Organization
PRESTIGE HOME HEALTH CARE LLC
Active
Organization
PRESTIGE HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOLAN B OGUNDE (CHIEF FINANCIAL OFFICER)
(602) 739-7170
Entity
Organization
Contact information
Practice address
3120 N 19TH AVE, SUITE 170, PHOENIX, AZ 85015-6052
(602) 279-8471
(602) 279-0296
Mailing address
PO BOX 18951, PHOENIX, AZ 85005-8951
(602) 279-8471
(602) 279-0296
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
09/29/2008
Last updated
06/24/2010
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