Prestige Supervised Community Living INC

NPI #1477975936 in Mobile, Alabama

Provider Information

NPI Number: 1477975936
Entity Type: Organization
Organization Name: Prestige Supervised Community Living INC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 16, 2014
Last Updated: Jan 16, 2014

Practice Location

Address: 1725 NORTHVIEW DR
City: Mobile
State: Alabama
ZIP Code: 36618-1801
Phone: (251) 370-3403

Authorized Official

Name: MR. ROBERT BROWN
Title: CEO
Phone: (251) 370-3403

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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