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Contact Information

PRESTIGE SERVICES GROUP LLC
318 HARRIS AVENUE
RAEFORD, NC28376
 Phone: 910-325-2655
 Fax: 910-500-5091
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for PRESTIGE SERVICES GROUP LLC

NPI Number 1184487134
LBN Legal business name PRESTIGE SERVICES GROUP LLC
Authorized official DONALD MOSES - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/02/2024
Last updated 02/02/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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