Organization
PRESTIGE SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAN A DAUTRUCHE (EXECUTIVE DIRECTOR)
(856) 535-0429
Entity
Organization
Contact information
Practice address
44 COOPER ST STE 1, WOODBURY, NJ 08096-4639
(856) 579-4245
(856) 997-9098
Mailing address
44 COOPER ST STE 1, WOODBURY, NJ 08096-4639
(856) 579-4245
(856) 997-9098
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
11/27/2023
Last updated
05/12/2026
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