Organization
1 PROSPERITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OBED BAZILE (CEO)
(772) 205-2497
Entity
Organization
Contact information
Practice address
1975 1ST PL SW, VERO BEACH, FL 32962-3415
(772) 205-2497
Mailing address
1975 1ST PL SW, VERO BEACH, FL 32962-3415
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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