Organization
PRESTIGE HEALTHCARE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICTORIA YVETTE POTTS (PRESIDENT)
(769) 798-6538
Entity
Organization
Contact information
Practice address
518 GOLDEN EAGLE DR, BYRAM, MS 39272-8923
(769) 216-2399
(769) 216-2252
Mailing address
518 GOLDEN EAGLE DR, P.O BOX 721072, BYRAM, MS 39272-8923
(769) 216-2399
(769) 216-2252
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
P317997
MS
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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