Organization
PRESTIGE HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GERTRUDE WILKINSON RN (MANAGER)
(678) 436-3494
Entity
Organization
Contact information
Practice address
1810 WINDING CROSSING TRL, FAIRBURN, GA 30213-1275
(678) 436-3494
(678) 436-3472
Mailing address
1810 WINDING CROSSING TRL, FAIRBURN, GA 30213-1275
(678) 436-3494
(678) 436-3472
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
060-R-1530
GA
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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