Provider Demographics
NPI:1447479340
Name:PRESTIGE PERSONNEL
Entity type:Organization
Organization Name:PRESTIGE PERSONNEL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUS OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEHANIE
Authorized Official - Middle Name:THERESE
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:ETC
Authorized Official - Phone:937-235-0179
Mailing Address - Street 1:7211 TAYLORSVILLE RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-2376
Mailing Address - Country:US
Mailing Address - Phone:937-235-0179
Mailing Address - Fax:719-218-0179
Practice Address - Street 1:7211 TAYLORSVILLE RD
Practice Address - Street 2:SUITE 105
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-2376
Practice Address - Country:US
Practice Address - Phone:937-235-0179
Practice Address - Fax:719-218-0179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health