Organization
PRESTIGE HOME HEALTH TEAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY NICOLE JENNINGS OWNER (OWNER)
(314) 503-6610
Entity
Organization
Contact information
Practice address
1515 N WARSON RD STE 287, SAINT LOUIS, MO 63132-1165
(314) 503-6610
(314) 942-7399
Mailing address
1515 N WARSON RD STE 287, SAINT LOUIS, MO 63132-1165
(314) 503-6610
(314) 942-7399
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/05/2018
Last updated
08/10/2020
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