# PRESTIGE CARE,INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013214493
- **Authorized official:** HABEEBET MOMOH (PRESIDENT)
- **Authorized official phone:** (786) 897-0213

## Contact information

- **Practice address:** 17076 NW 17TH ST, PEMBROKE PINES, FL 33028-1354
- **Practice address phone:** (786) 897-0213
- **Practice address fax:** (954) 538-8664
- **Mailing address:** 17076 NW 17TH ST, PEMBROKE PINES, FL 33028-1354
- **Mailing address phone:** (786) 897-0213
- **Mailing address fax:** (954) 538-8664

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | 000399500 | FL | Yes |

## Other

- **Enumeration date:** 02/18/2011
- **Last updated:** 02/18/2011