Organization · Type 2 NPI

Elite Residential, LLC

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

NPI number 1760904338 Active

Practice location

1554 Basil Street
Mobile, AL 36603

Call (251) 652-3658 Map

Fax (251) 415-2055

Mailing address

1554 Basil St
Mobile, AL 36603-5019

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Residential Treatment Facility	320600000X	None listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	None listed
Respite Care	385H00000X	None 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 1760904338

Elite Residential, LLC's National Provider Identifier is 1760904338, issued on Jul 14, 2017. 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 Jul 21, 2022.