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Phoenix Supported Living Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hayesville, North Carolina
NPI 1700932548

Phoenix Supported Living Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Hayesville, NC. Phoenix Supported Living Inc practices in Hayesville, NC. The NPI Number for Phoenix Supported Living Inc is 1700932548 and holds a License No. 3409428 (North Carolina).

The current practice location address for Phoenix Supported Living Inc is 2996 Nc 69, Hayesville, NC and can be reached out via phone at 828-389-1795 and via fax at 828-389-1658.

Location: 2996 Nc 69, Hayesville, NC, 28904-7257
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700932548
Provider Name
Phoenix Supported Living Inc
Credential
Provider Entity Type
Organization
Address
2996 Nc 69, Hayesville, NC, 28904-7257
Phone Number
828-389-1795
Fax Number
828-389-1658
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3409428 05 NC
institution
Provider Business Practice Location Address Details
Address
2996 Nc 69
City
Hayesville
State
North Carolina
Zip
28904-7257
Phone Number
828-389-1795
Fax Number
828-389-1658
person
Provider Business Mailing Address Details
Address
2996 Nc 69
City
Hayesville
State
North Carolina
Zip
28904-7257
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, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
3409428 (North Carolina)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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