Organization
PRUDENT SENIOR SERVICES OF AMERICA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMEER SHAH (CEO)
(313) 215-5158
Entity
Organization
Contact information
Practice address
3850 HOLCOMB BRIDGE RD STE 350, PEACHTREE CORNERS, GA 30092-5292
(770) 870-0500
Mailing address
3850 HOLCOMB BRIDGE RD STE 350, PEACHTREE CORNERS, GA 30092-5292
(770) 870-0500
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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