Prestige Residential Care LLC

Organization Active NPI In Home Supportive Care Agency · Westbrook, ME

NPI 1043028079 · NPPES record last updated Dec 23, 2024

Key facts

NPI
1043028079
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
PRESTIGE RESIDENTIAL CARE LLC
Practice address
48 Arnies Aly # 48
Westbrook, ME 04092-2365
Phone
(407) 985-0174
NPI assigned
Dec 23, 2024
Organization subpart
No

Authorized official

Name
Mr. Paul Mukomeza
Title
Chief Executive Officer
Phone
(407) 985-0174

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

48 Arnies Aly # 48
Westbrook, ME 04092-2365

Mailing address

48 Arnies Aly # 48
Westbrook, ME 04092-2365
Phone (407) 985-0174

Other providers in Westbrook, ME

All providers in Westbrook, ME · In Home Supportive Care Agency in Maine

Sources for this page

Verify at the official NPI Registry.