# SUPPORTS FOR COMMUNITY LIVING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104466937
- **Authorized official:** JOSEPH NALLEY (CEO)
- **Authorized official phone:** (502) 690-1511

## Contact information

- **Practice address:** 5115 S 3RD ST, LOUISVILLE, KY 40214-2601
- **Practice address phone:** (502) 233-3030
- **Practice address fax:** (502) 719-8161
- **Mailing address:** 5115 S 3RD ST, LOUISVILLE, KY 40214-2601
- **Mailing address phone:** (502) 233-3030
- **Mailing address fax:** (502) 719-8161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/09/2020
- **Last updated:** 01/09/2020