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Organization
PRESTIGE COMPANION & HOMEMAKERS, LLC
Active
Organization
PRESTIGE COMPANION & HOMEMAKERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK APPIAH (PRESIDENT)
(203) 262-0046
Entity
Organization
Contact information
Practice address
77 MAIN ST N UNIT 100, SOUTHBURY, CT 06488-2200
(203) 262-0046
(203) 262-0047
Mailing address
77 MAIN ST N UNIT 100, SOUTHBURY, CT 06488-2200
(203) 262-0046
(203) 262-0047
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
0000617
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008056979
MEDICAID
CT
05
—
008056979
—
CT
05
—
008067809
—
CT
Enumeration date
06/08/2017
Last updated
06/02/2022
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