Organization
PRESTIGE HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENY PETIT-FRERE (MANAGER)
(617) 771-0792
Entity
Organization
Contact information
Practice address
930 CRESCENT ST STE 1, BROCKTON, MA 02302-3445
(617) 771-0792
Mailing address
930 CRESCENT ST STE 1, BROCKTON, MA 02302-3445
(617) 771-0792
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/06/2025
Last updated
08/14/2025
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