Organization
PRESTINEMD
Active
Other names
PRESTINE CONSULTING
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEAL HANNAH (CLINICAL DOCUMENTATION SPECIALIST)
(618) 979-4610
Entity
Organization
Contact information
Practice address
153 WASHINGTON AVE APT D, RUTHERFORD, NJ 07070-1548
(618) 979-4610
Mailing address
PO BOX 322, MASCOUTAH, IL 62258-0322
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
347E00000X
Transportation Broker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0450341798
STATE OF NJ
NJ
Enumeration date
04/03/2019
Last updated
06/11/2019
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