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ELITE RESIDENTIAL FOR MATURED ADULTS NPI 1083865141


NPI Information

NPI: 1083865141
Provider Name: ELITE RESIDENTIAL FOR MATURED ADULTS
Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization
Address:
160 WILSON DR
PROSPER, TX
ZIP 75078
Phone: (972) 347-6035
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ELITE RESIDENTIAL FOR MATURED ADULTS is a residential treatment facility physical disabilities in Prosper, TX. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. ELITE RESIDENTIAL FOR MATURED ADULTS NPI is 1083865141. The provider is registered as an organization entity type.

The provider's business location address is:

160 WILSON DR
PROSPER, TX
ZIP 75078-580
Phone: (972) 347-6035
Fax: (972) 347-6250

The provider's authorized official is Vikkilynn Prevost .
The authorized official title is Co-owner/director and has the following contact phone number (972) 347-6035.

The enumeration date for this NPI number is 10/8/2008 and was last updated on 10/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320700000XResidential Treatment Facility, Physical DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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