Organization
PRESTIGE RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL MUKOMEZA (CHIEF EXECUTIVE OFFICER)
(407) 985-0174
Entity
Organization
Contact information
Practice address
48 ARNIES ALY # 48, WESTBROOK, ME 04092-2365
(407) 985-0174
Mailing address
48 ARNIES ALY # 48, WESTBROOK, ME 04092-2365
(407) 985-0174
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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