Organization
PROSPERITY LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELLA DALUM (OWNER)
(956) 299-0228
Entity
Organization
Contact information
Practice address
2 WOOD HOLLOW DR, BROWNSVILLE, TX 78521-2709
(956) 299-0228
(866) 571-6462
Mailing address
2 WOOD HOLLOW DR, BROWNSVILLE, TX 78521-2709
(956) 299-0228
(866) 571-6462
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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