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Organization

PRESTIGIOUS HOMECARE SERVICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALICIA STEEL REGISTERED NURSE (OWNER)
(772) 216-0676
Entity
Organization

Contact information

Practice address
661 BOULDER VIEW PKWY, DALLAS, GA 30157-2377
(772) 216-0676
Mailing address
661 BOULDER VIEW PKWY, DALLAS, GA 30157-2377
(772) 216-0676

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
163WA2000X
Administrator Registered Nurse
163WC2100X
Continence Care Registered Nurse
163WI0600X
Infection Control Registered Nurse
163WW0000X
Wound Care Registered Nurse
164W00000X
Licensed Practical Nurse
164X00000X
Licensed Vocational Nurse
251E00000X
Home Health Agency

Other

Enumeration date
06/01/2026
Last updated
06/01/2026
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