Organization
PRESTIGE CARE AT HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA SMITH NP (ADMINISTRATOR)
(715) 318-6860
Entity
Organization
Contact information
Practice address
919 FAIRFAX ST STE 200, ALTOONA, WI 54720-1194
(715) 318-6860
Mailing address
211 N WILLSON DR, ALTOONA, WI 54720-2199
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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