Organization
PRESTIGE ADULT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCIANA PITTMAN LPN (PARTNER)
(850) 629-9492
Entity
Organization
Contact information
Practice address
4471 CLINTON ST, MARIANNA, FL 32446-3437
(850) 629-9492
Mailing address
4415C CONSTITUTION LN # 343, MARIANNA, FL 32448-4472
(850) 629-9492
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
Update your record
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