Organization Name: | PRESTIGE CARE,INC |
NPI Number: | 1013214493 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HABEEBET MOMOH (PRESIDENT) |
Mailing Address: | 17076 Nw 17th St Pembroke Pines |
State: | FL US |
Postal Code: | 330281354 |
Phone Number: | 7868970213 |
Fax Number: | 9545388664 |
NPI Enumeration Date: | 02/18/2011 |
NPI Last Update Date: | 02/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385HR2060X |
License Number: | 000399500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Taxonomy Definition: | A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |