NPI 1215620976
Prestige In-Home Nursing Agency LLC
Practice location
- Address
- 3737 NE 135th Ave, Portland, OR 97230-2722
- Phone
- (813) 842-8699
Authorised official
- Name
- Gebi Genemo
- Title
- Administrator
- Phone
- (813) 842-8699
Registered specialties
Nursing Care Agency
Primary
Registry record
- NPI
- 1215620976
- Entity type
- Organization
- NPI issued
- 30 May 2023
- Record last updated
- 30 May 2023
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.