# PROSPERITY HALL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003100744
- **Authorized official:** MS. JOSEPHINE EDWARDS RN, BSN (OWNER/CEO)
- **Authorized official phone:** (409) 682-7574

## Contact information

- **Practice address:** 516 FERRY RD, GALVESTON, TX 77550-3146
- **Practice address phone:** (409) 682-7574
- **Mailing address:** 1918 CEDAR DR, LA MARQUE, TX 77568-3905
- **Mailing address phone:** (409) 682-7574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3140N1450X | Pediatric Skilled Nursing Facility | 787673 | TX | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 787673 | TX | Yes |

## Other

- **Enumeration date:** 05/29/2011
- **Last updated:** 05/30/2011