Organization
PRESTIGE ADULT FOSTER CARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HIGHNESS GODWIN KAGUO (CEO)
(978) 407-9339
Entity
Organization
Contact information
Practice address
340 MAIN ST STE 975, WORCESTER, MA 01608-1601
(978) 407-9339
Mailing address
340 MAIN ST STE 975, WORCESTER, MA 01608-1601
(978) 407-9339
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
MA
Other
Enumeration date
03/18/2015
Last updated
11/03/2015
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