Organization
PROSPER LIVING SOLUTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FOLAKE OBIOMA (OWNER)
(214) 277-2012
Entity
Organization
Contact information
Practice address
637 SANDY TRL, FORT WORTH, TX 76120-2459
(214) 277-2012
Mailing address
637 SANDY TRL, FORT WORTH, TX 76120-2459
(214) 277-2012
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
335G00000X
Medical Foods Supplier
—
—
Other
Enumeration date
07/20/2023
Last updated
07/24/2023
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