# PRESTIGE IN-HOME SERVICES LLC

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

## Provider details

- **NPI number:** 1851090005
- **Authorized official:** CLEMENT NKANSAH (PROGRAM DIRECTOR)
- **Authorized official phone:** (703) 839-0438

## Contact information

- **Practice address:** 3903 FORESTDALE AVE, WOODBRIDGE, VA 22193-2227
- **Practice address phone:** (703) 839-0438
- **Mailing address:** 3903 FORESTDALE AVE, WOODBRIDGE, VA 22193-2227
- **Mailing address phone:** (703) 839-0438

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/27/2023
- **Last updated:** 02/27/2023