Organization
A.J. PRESTIGE HOME HEALTH CARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GHERRY POLYCARPE (ADMINISTRATOR)
(512) 573-1786
Entity
Organization
Contact information
Practice address
5625 KLEBERG TRL, AUSTIN, TX 78747-2726
(512) 573-1786
Mailing address
5625 KLEBERG TRL, AUSTIN, TX 78747-2726
(512) 573-1786
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
TX
Other
Enumeration date
03/06/2017
Last updated
09/03/2022
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