NPI 1083865141

Elite Residential for Matured Adults

Organisation Physical Disabilities Residential Treatment Facility Prosper, TX

Practice location

Address: 160 Wilson Dr, Prosper, TX 75078-8580
Phone: (972) 347-6035
Fax: (972) 347-6250

Authorised official

Name: Vikkilynn Prevost
Title: Co-Owner/Director
Phone: (972) 347-6035

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X

Other Residential Treatment Facility, Physical Disabilities providers in Texas →

Registry record

NPI: 1083865141
Entity type: Organization
NPI issued: 8 Oct 2008
Record last updated: 8 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.