# PRESTIGE ESTATES ASSISTED LIVING, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prestige Companions Home Care Of Nc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548529738
- **Authorized official:** MISS DONNESSA LAMEKA DARDEN (OWNER/ADMIN)
- **Authorized official phone:** (919) 519-1602

## Contact information

- **Practice address:** 4120 HOLT SCHOOL RD, DURHAM, NC 27704-1439
- **Practice address phone:** (919) 797-0062
- **Practice address fax:** (919) 797-0514
- **Mailing address:** PO BOX 15940, DURHAM, NC 27704
- **Mailing address phone:** (919) 797-0062
- **Mailing address fax:** (919) 797-0514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/09/2012
- **Last updated:** 10/08/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7806692 | — | NC |