Organization
PRESTIGE SUPERVISED COMMUNITY LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT BROWN (CEO)
(251) 370-3403
Entity
Organization
Contact information
Practice address
1725 NORTHVIEW DR, MOBILE, AL 36618-1801
(251) 370-3403
(251) 343-9322
Mailing address
1725 NORTHVIEW DR, MOBILE, AL 36618-1801
(251) 370-3403
(251) 343-9322
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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