Phoenix Supported Living Inc

LBN: Phoenix Supported Living Inc
Phoenix Supported Living Inc is an health care organization with primary practice located at 201 Hampton Church Rd , Murphy NC 28906-8323. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Phoenix Supported Living Inc can be contacted via phone (828) 389-1795, or through Nemkovich, Janet Melissa via phone (828) 389-1795.

Contact Information

Primary practice address
201 Hampton Church Rd Murphy NC 28906-8323
Phone: (828) 389-1795
Fax: (828) 389-1658
Website:
Map and Directions
Authorized official contact:
Name: Nemkovich, Janet Melissa
Phone: (828) 389-1795

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 8300971 North Carolina

Profile Details

NPI number 1437204674
LBN Legal business name Phoenix Supported Living Inc
DBA Doing business as
Authorized official Nemkovich, Janet Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437204674 NPPES
North Carolina MEDICAID 8300971

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