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Organization

PRESTINEMD

Active
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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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