NPI 1124894233

Prestige Residential Services LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Indianapolis, IN

Practice location

Address: 10493 Serviceberry Dr, Indianapolis, IN 46234-0169
Phone: (701) 339-8204

Authorised official

Name: Gaethan Ndayongeje
Title: President
Phone: (701) 339-8204

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1124894233
Entity type: Organization
NPI issued: 29 Nov 2023
Record last updated: 29 Nov 2023

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.