NPI 1043028079
Prestige Residential Care LLC
Practice location
- Address
- 48 Arnies Aly # 48, Westbrook, ME 04092-2365
- Phone
- (407) 985-0174
Authorised official
- Name
- Paul Mukomeza
- Title
- Chief Executive Officer
- Phone
- (407) 985-0174
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1043028079
- Entity type
- Organization
- NPI issued
- 23 Dec 2024
- Record last updated
- 23 Dec 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.