NPI 1477975936

Prestige Supervised Community Living INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Mobile, AL

Practice location

Address: 1725 Northview Dr, Mobile, AL 36618-1801
Phone: (251) 370-3403
Fax: (251) 343-9322

Authorised official

Name: Robert Brown
Title: Ceo
Phone: (251) 370-3403

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Alabama →

Registry record

NPI: 1477975936
Entity type: Organization
NPI issued: 16 Jan 2014
Record last updated: 16 Jan 2014

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.