institution
Phoenix Supported Living Inc.
Mental Illness Community Based Residential Treatment Facility in Andrews, North Carolina
NPI 1083750228

Phoenix Supported Living Inc. is a Mental Illness Community Based Residential Treatment Facility based in Hayesville, NC. Phoenix Supported Living Inc. practices in Andrews, NC. The NPI Number for Phoenix Supported Living Inc. is 1083750228 and holds a License No. 8300926 (North Carolina).

The current practice location address for Phoenix Supported Living Inc. is 19 645 Hwy 19, Andrews, NC and can be reached out via phone at 828-389-1795 and via fax at 828-389-1658. You can also correspond with Phoenix Supported Living Inc. through the mailing address at 2996 NC 69, HAYESVILLE, NC - 28904-7257 (mailing address contact number: 828-389-1795).

Location: 19 645 Hwy 19, Andrews, NC, 28904-7257
institution
Provider Profile Details
NPI Number
1083750228
Provider Name
Phoenix Supported Living Inc.
Credential
Provider Entity Type
Organization
Address
19 645 Hwy 19, 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
8300926 05 NC
institution
Provider Business Practice Location Address Details
Address
19 645 Hwy 19
City
State
Zip
28901
Phone Number
828-389-1795
Fax Number
828-389-1658
person
Provider Business Mailing Address Details
Address
19 645 Hwy 19
City
State
Zip
28901
Phone Number
828-389-1795
Fax Number
828-389-1658
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
8300926 (North Carolina)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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