Organization · Type 2 NPI

Phoenix Supported Living Inc

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Murphy, NC

NPI number 1073669818 Active

Practice location

284 Smokeford Rd
Murphy, NC 28906-9065

Fax (828) 389-1658

Mailing address

2996 Nc 69, Suite 6
Hayesville, NC 28904-7257

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X8300648 (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.

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About NPI 1073669818

Phoenix Supported Living Inc's National Provider Identifier is 1073669818, issued on Jan 26, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Murphy, NC. The record was last updated on Aug 22, 2020.