Elite Residential for Matured Adults

NPI #1083865141 in Prosper, Texas

Provider Information

NPI Number
1083865141
Entity Type
Organization
Organization Name
Elite Residential for Matured Adults
Primary Specialty
Residential Treatment Facility, Physical Disabilities
Enumeration Date
Oct 8, 2008
Last Updated
Oct 8, 2008

Practice Location

Address
160 WILSON DR
State
Texas
ZIP Code
75078-8580
Phone
(972) 347-6035

Authorized Official

Name
MS. VIKKILYNN PREVOST, R.D.H
Title
CO-OWNER/DIRECTOR
Phone
(972) 347-6035

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Physical Disabilities

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