Organization
PRESTIGE ADHC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELSO COSTELO (ADMINISTRATOR)
(408) 476-8774
Entity
Organization
Contact information
Practice address
1765 S MAIN ST STE 101, MILPITAS, CA 95035-6764
(408) 586-9000
(408) 516-8304
Mailing address
1765 S MAIN ST STE 101, MILPITAS, CA 95035-6764
(408) 586-9000
(408) 516-8304
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2008
Last updated
09/06/2023
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