Organization
PROSPERITY HALL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOSEPHINE EDWARDS RN, BSN (OWNER/CEO)
(409) 682-7574
Entity
Organization
Contact information
Practice address
516 FERRY RD, GALVESTON, TX 77550-3146
(409) 682-7574
Mailing address
1918 CEDAR DR, LA MARQUE, TX 77568-3905
(409) 682-7574
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
787673
TX
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
787673
TX
Other
Enumeration date
05/29/2011
Last updated
05/30/2011
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