Healthcare Provider Details

I. General information

NPI: 1407700511
Provider Name (Legal Business Name): PRESTIGE HEALTHCARE RESOURCES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2026
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1418 MARION BARRY AVE SE
WASHINGTON DC
20020-5615
US

IV. Provider business mailing address

1418 MARION BARRY AVE SE
WASHINGTON DC
20020-5615
US

V. Phone/Fax

Practice location:
  • Phone: 202-796-5000
  • Fax:
Mailing address:
  • Phone: 202-796-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MUSTAFA MORRIS
Title or Position: C&P MANAGER
Credential:
Phone: 202-896-0972