# PRIME SUPPORTED LIVING LLC

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

## Provider details

- **NPI number:** 1891624409
- **Authorized official:** MURAMA ALOYS (OWNER)
- **Authorized official phone:** (619) 451-1491

## Contact information

- **Practice address:** 117 WALTON HEATH CT, COLUMBIA, MO 65201-5822
- **Practice address phone:** (619) 451-1491
- **Mailing address:** 117 WALTON HEATH CT, COLUMBIA, MO 65201-5822
- **Mailing address phone:** (619) 451-1491

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/18/2026
- **Last updated:** 05/18/2026