Organization
PRESTIGE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE CLERIZIER RN (CEO/RN)
(678) 571-2528
Entity
Organization
Contact information
Practice address
1770 INDIAN TRAIL LILBURN RD STE 420, NORCROSS, GA 30093-2644
(404) 475-2600
Mailing address
2860 SUMMIT VALLEY DR, DACULA, GA 30019-4008
(678) 571-2528
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000111222333
—
GA
Enumeration date
08/17/2019
Last updated
08/17/2019
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