NPI 1366598336

Phoenix Supported Living INC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Andrews, NC

Practice location

Address: 48 Brittian Trace, Andrews, NC 28901
Phone: (828) 389-1795
Fax: (828) 389-1658
Mailing address: 2996 Nc 69 Suite 6, Hayesville, NC 28904-7257

Authorised official

Name: Janet Melissa Nemkovich
Title: Director
Phone: (828) 389-1795

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 7804847 (NC)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in North Carolina →

Registry record

NPI: 1366598336
Entity type: Organization
NPI issued: 25 Jan 2007
Record last updated: 11 May 2012

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.