Elite Residential For Matured Adults

NPI 1083865141 - Residential Treatment Facility, Physical Disabilities - 320700000X

NPI Details
NPI 1083865141
Enumeration Date 10/08/2008
Last Updated 10/08/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name VIKKILYNN VIKKILYNN
Position CO-OWNER/DIRECTOR
Phone (972) 347-6035
Fax (972) 347-6250
Practice Location
160 WILSON DR
PROSPER TX, 75078-8580, US
Phone (972) 347-6035
Fax (972) 347-6250
Business Location
160 WILSON DR
PROSPER TX, 75078-8580, US
Phone (972) 347-6035
Fax (972) 347-6250
Toxanomy
Taxonomy Code 320700000X
License State
License Number
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According to our database, Elite Residential For Matured Adults NPI is 1083865141, taxonomy code is 320700000X Elite Residential For Matured Adults physically located at 160 Wilson Dr, Prosper TX, 75078-8580. NPI Number 1033115704 has the healthcare provider type.

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1083865141 NPI number is provided on an as is basis without warranty of any kind. 1083865141 is maintained by the National Plan & Provider Enumeration System. The contents of Elite Residential For Matured Adults are for informational purposes only.