Organization
PRESTIGE COMPANION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENESHIA HOLMES (CEO)
(850) 264-5509
Entity
Organization
Contact information
Practice address
2429 CERBERUS DR, APOPKA, FL 32712-4759
(850) 264-5509
Mailing address
2429 CERBERUS DR, APOPKA, FL 32712-4759
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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