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Organization
PRESTIGE CARE HOME/ANGELIC VISITS
Active
Organization
PRESTIGE CARE HOME/ANGELIC VISITS
Active
Other names
Angelic Visits
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY SPILLER-JOHNSON (NURSE ADMINISTRATOR)
(901) 281-8292
Entity
Organization
Contact information
Practice address
2051 MONTREAT DR, MEMPHIS, TN 38134-6613
(901) 281-8292
(901) 388-7366
Mailing address
2051 MONTREAT DR, MEMPHIS, TN 38134-6613
(901) 281-8292
(901) 388-7366
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0000000565
TN
310400000X
Assisted Living Facility
0000000565
TN
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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