NPI 1144688284

Prestige Home Care Agency

Organisation Home Health Agency Fairburn, GA

Practice location

Address: 1810 Winding Crossing Trl, Fairburn, GA 30213-1275
Phone: (678) 436-3494
Fax: (678) 436-3472

Authorised official

Name: Gertrude Wilkinson
Title: Manager
Phone: (678) 436-3494

Registered specialties

Home Health Agency Primary

Agencies Taxonomy 251E00000X Licence 060-R-1530 (GA)

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Registry record

NPI: 1144688284
Entity type: Organization
NPI issued: 3 Feb 2016
Record last updated: 3 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.