NPI 1104466937

Supports for Community Living, LLC

Organisation Public Health or Welfare Agency Louisville, KY

Practice location

Address: 5115 S 3rd St, Louisville, KY 40214-2601
Phone: (502) 233-3030
Fax: (502) 719-8161

Authorised official

Name: Joseph Nalley
Title: Ceo
Phone: (502) 690-1511

Registered specialties (3)

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Adult Mental Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM0850X

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Registry record

NPI: 1104466937
Entity type: Organization
NPI issued: 9 Jan 2020
Record last updated: 9 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.