Organization
PRESTIGE COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLEMENT NKANSAH (CEO)
(703) 839-0438
Entity
Organization
Contact information
Practice address
3903 FORESTDALE AVE, WOODBRIDGE, VA 22193-2227
(703) 839-0438
Mailing address
3903 FORESTDALE AVE, WOODBRIDGE, VA 22193-2227
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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