Organization
PRESTIGE HEALTHCARE RESOURCES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN SAYE SMITH JR. RN (PRESIDENT)
(240) 644-3578
Entity
Organization
Contact information
Practice address
6011 EMERSON ST, SUITE 209, BLADENSBURG, MD 20710
(240) 644-3578
(202) 204-5758
Mailing address
6011 EMERSON ST APT 209, BLADENSBURG, MD 20710-1829
(240) 644-3578
(202) 204-5758
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
DC
251E00000X
Home Health Agency
R3017P
MD
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
DC
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018535185
—
DC
05
—
052557651
—
DC
05
—
067587600
—
DC
05
—
095470341
—
DC
Enumeration date
06/22/2011
Last updated
02/20/2022
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