Organization · Type 2 NPI
Phoenix Supported Living Inc
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Andrews, NC
Practice location
48 Britian Trace
Andrews, NC 28901
Fax (828) 389-1658
Mailing address
2996 Nc 69, Suite 6
Hayesville, NC 28904-7257
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 8300925 (NC) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Other intellectual and/or developmental disabilities residential treatment facility providers in Andrews
About NPI 1013053255
Phoenix Supported Living Inc's National Provider Identifier is 1013053255, issued on Jan 29, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Andrews, NC. The record was last updated on Aug 22, 2020.