Supportive Living Services, Inc. in Erie - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Supportive Living Services, Inc. - NPI 1205900305
Supportive Living Services, Inc. is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Erie, Pennsylvania. Supportive Living Services, Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Supportive Living Services, Inc. is 1205900305. The last update date is 2020-08-22.
Supportive Living Services, Inc.'s current location address is 210 E 2nd St, Erie, Pennsylvania. You can contact this provider via phone number 8144541252 and fax number 8144563133. The mailing address for Supportive Living Services, Inc. is 210 E 2nd St, Erie, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Supportive Living Services, Inc. |
|---|---|
| Address | 210 E 2nd St, Erie, Pennsylvania |
| Phone Number | 8144541252 |
| Fax Number | 8144563133 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Buschak L Mona |
| Credentials | MPA |
| Telephone Number | 8144541252 |
NPI Number Detail
| NPI Number | 1205900305 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 210 E 2nd St |
|---|---|
| City | Erie |
| State | Pennsylvania (PA) |
| Post Code | 165071559 |
| Phone Number | 8144541252 |
| Fax Number | 8144563133 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 437090 |
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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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Post Comment/ Review Below
What is the Supportive Living Services, Inc.'s unique identification number?
The Supportive Living Services, Inc. has been assigned the NPI (National Provider Identifier) Number 1205900305 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Supportive Living Services, Inc. located?
The Supportive Living Services, Inc. is located at 210 E 2Nd St, Erie, PA 165071559.
What is the Supportive Living Services, Inc.'s specialty and taxonomy code?
The Supportive Living Services, Inc.'s specialty is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320900000X.
When did Supportive Living Services, Inc. receive its 1205900305 assignment?
The Supportive Living Services, Inc. was assigned its 1205900305 on 2006-11-20, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Supportive Living Services, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Supportive Living Services, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.