Phoenix Supported Living Inc in Hayesville - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Phoenix Supported Living Inc - NPI 1073669818
Phoenix Supported Living Inc is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Hayesville, North Carolina. Phoenix Supported Living Inc practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Phoenix Supported Living Inc is 1073669818. The last update date is 2020-08-22.
Phoenix Supported Living Inc's current location address is 2996 Nc 69, Hayesville, North Carolina. You can contact this provider via phone number 8283891795 and fax number 8283891658. The mailing address for Phoenix Supported Living Inc is 2996 Nc 69, Hayesville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Phoenix Supported Living Inc |
|---|---|
| Address | 2996 Nc 69, Hayesville, North Carolina |
| Phone Number | 8283891795 |
| Fax Number | 8283891658 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Nemkovich Melissa Janet |
| Telephone Number | 8283891795 |
NPI Number Detail
| NPI Number | 1073669818 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2996 Nc 69 |
|---|---|
| City | Hayesville |
| State | North Carolina (NC) |
| Post Code | 289047257 |
| Phone Number | 8283891795 |
| Fax Number | 8283891658 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 8300648 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8300648 | NC | -- |
Post Comment/ Review Below
What is the Phoenix Supported Living Inc's unique identification number?
The Phoenix Supported Living Inc has been assigned the NPI (National Provider Identifier) Number 1073669818 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Phoenix Supported Living Inc is physically located?
The Phoenix Supported Living Inc is physically situated at the following address: 2996 Nc 69, Hayesville, NC, 289047257.
What is Phoenix Supported Living Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Phoenix Supported Living Inc's area of specialization is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320600000X.
When did Phoenix Supported Living Inc receive its 1073669818 assignment?
The Phoenix Supported Living Inc was assigned its 1073669818 on 2007-01-26, which is the date when this unique identifier was issued to the organization.
When was the information related to Phoenix Supported Living Inc most recently updated or refreshed?
The details pertaining to the Phoenix Supported Living Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.