Prestige Residential Home Llc

LBN: Prestige Residential Home Llc
Prestige Residential Home Llc is an health care organization with primary practice located at 22367 E Desert Spoon Dr , Queen Creek AZ 85142-1235. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Prestige Residential Home Llc can be contacted via phone (480) 307-9984, or through Asiedu, Alexander B via phone (914) 417-0214.

Contact Information

Primary practice address
22367 E Desert Spoon Dr Queen Creek AZ 85142-1235
Phone: (480) 307-9984
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Asiedu, Alexander B
Phone: (914) 417-0214

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1154061398
LBN Legal business name Prestige Residential Home Llc
DBA Doing business as
Authorized official Asiedu, Alexander B
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2022
Last updated Mar 29th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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