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Phoenix Supported Living Inc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Andrews, North Carolina
NPI 1013053255

Phoenix Supported Living Inc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Hayesville, NC. Phoenix Supported Living Inc practices in Andrews, NC. The NPI Number for Phoenix Supported Living Inc is 1013053255 and holds a License No. 8300925 (North Carolina).

The current practice location address for Phoenix Supported Living Inc is 48 Britian Trace, Andrews, NC and can be reached out via phone at 828-389-1795 and via fax at 828-389-1658.

Location: 48 Britian Trace, Andrews, NC, 28904-7257
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013053255
Provider Name
Phoenix Supported Living Inc
Credential
Provider Entity Type
Organization
Address
48 Britian Trace, Andrews, NC, 28904-7257
Phone Number
828-389-1795
Fax Number
828-389-1658
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8300925 05 NC
institution
Provider Business Practice Location Address Details
Address
48 Britian Trace
City
Andrews
State
North Carolina
Zip
28901
Phone Number
828-389-1795
Fax Number
828-389-1658
person
Provider Business Mailing Address Details
Address
48 Britian Trace
City
Andrews
State
North Carolina
Zip
28901
Phone Number
828-389-1795
Fax Number
828-389-1658
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
8300925 (North Carolina)
Definition
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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