Organization
PRESTIGIOUS CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAMEESHIA GILMORE LPN (OWNER)
(631) 603-1826
Entity
Organization
Contact information
Practice address
532 BUNCHGRASS ST, EVANS, GA 30809-0369
(631) 603-1826
Mailing address
532 BUNCHGRASS ST, EVANS, GA 30809-0369
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/24/2018
Last updated
08/17/2018
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