Organization
PRESTIGE PERSONAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAREGEWYIN HABTE (ADMINISTRATOR)
(602) 677-7193
Entity
Organization
Contact information
Practice address
2415 E CAMELBACK RD STE 774, PHOENIX, AZ 85016-4288
(602) 677-7193
Mailing address
3000 E MAIN ST STE B, COLUMBUS, OH 43209-3717
(602) 677-7193
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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