Prosperity Hall
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Galveston, TX. Organization (NPI-2).
NPI number1003100744
StatusActive
Last updated in NPPESMay 30, 2011
Details
- NPI
- 1003100744
- Entity type
- Organization (NPI-2)
- Legal business name
- Prosperity Hall
- Organization subpart
- No
- Enumeration date
- May 29, 2011
- Last updated
- May 30, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 787673 | TX | Yes |
| 3140N1450X | Skilled Nursing Facility, Nursing Care, Pediatric | 787673 | TX |
Practice location
516 Ferry RdGalveston, TX 77550-3146
Phone 409-682-7574
Mailing address
1918 Cedar DrLa Marque, TX 77568-3905
Phone 409-682-7574
Authorized official
Josephine Edwards
Owner/Ceo
4096827574
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