Organization
PRESTIGIOUS HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN LANG (OWNER)
(662) 404-1755
Entity
Organization
Contact information
Practice address
190 PIN OAK DRIVE, YAZOO CITY, MS 39194
(662) 404-1755
Mailing address
190 PIN OAK DRIVE, YAZOO CITY, MS 39194
(662) 404-1755
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/12/2019
Last updated
10/08/2021
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