Organization · Type 2 NPI

Prestige Supervised Community Living Inc

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

NPI number 1477975936 Active

Practice location

1725 Northview Dr
Mobile, AL 36618-1801

Call (251) 370-3403 Map

Fax (251) 343-9322

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1477975936

Prestige Supervised Community Living Inc's National Provider Identifier is 1477975936, issued on Jan 16, 2014. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Mobile, AL. The record was last updated on Jan 16, 2014.