Organization
PRESTIGE HOME CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESIA MEDLEY (ADMINISTRATOR)
(704) 405-8557
Entity
Organization
Contact information
Practice address
1801 N TRYON ST, SUITE 604, CHARLOTTE, NC 28206-2704
(704) 405-8557
Mailing address
1801 N TRYON ST, SUITE 604, CHARLOTTE, NC 28206-2704
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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