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1 Prosperity LLC

Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Vero Beach, FL. Organization (NPI-2).

NPI number1154298032
StatusActive
Last updated in NPPESOct 23, 2025

Details

NPI
1154298032
Entity type
Organization (NPI-2)
Legal business name
1 Prosperity LLC
Organization subpart
No
Enumeration date
Oct 23, 2025
Certification date
Oct 23, 2025
Last updated
Oct 23, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child––

Practice location

1975 1st Pl Sw
Vero Beach, FL 32962-3415

Phone 772-205-2497

Mailing address

1975 1st Pl Sw
Vero Beach, FL 32962-3415

Authorized official

Obed Bazile
Ceo
7722052497

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