Phoenix Supported Living Inc

NPI 1033298864 - Assisted Living Facility - 3104A0625X

NPI Details
NPI 1033298864
Enumeration Date 11/03/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TONY J TONY
Position CEO
Phone (828) 389-1795
Fax
Practice Location
2996 NC 69 S
SUITE #6
HAYESVILLE NC, 28904, US
Phone (828) 389-1795
Fax
Business Location
2996 NC 69 S
SUITE #6
HAYESVILLE NC, 28904, US
Phone (828) 389-1795
Fax (828) 389-1658
Toxanomy
Taxonomy Code 3104A0625X
License State
License Number
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According to our database, Phoenix Supported Living Inc NPI is 1033298864, taxonomy code is 3104A0625X Phoenix Supported Living Inc physically located at 2996 Nc 69 S, Hayesville NC, 28904. NPI Number 1033115704 has the healthcare provider type.

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1033298864 NPI number is provided on an as is basis without warranty of any kind. 1033298864 is maintained by the National Plan & Provider Enumeration System. The contents of Phoenix Supported Living Inc are for informational purposes only.