Provider Demographics
NPI:1063754703
Name:AR PRESTIGE HOME HEALTH INC
Entity type:Organization
Organization Name:AR PRESTIGE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AIDA
Authorized Official - Middle Name:ROSA
Authorized Official - Last Name:ALEJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-600-3682
Mailing Address - Street 1:3140 W KENNEDY BLVD
Mailing Address - Street 2:STE 118
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-3175
Mailing Address - Country:US
Mailing Address - Phone:813-600-3682
Mailing Address - Fax:813-436-9618
Practice Address - Street 1:3140 W KENNEDY BLVD
Practice Address - Street 2:STE 118
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-3175
Practice Address - Country:US
Practice Address - Phone:813-600-3682
Practice Address - Fax:813-436-9618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health