# SIDRA SUPPORTED LIVING LLC

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

## Provider details

- **NPI number:** 1912832643
- **Authorized official:** IDRIS ELDURSI (OWNER)
- **Authorized official phone:** (845) 721-1031

## Contact information

- **Practice address:** 12182 E HAWAII DR, AURORA, CO 80012-5302
- **Practice address phone:** (845) 721-1031
- **Mailing address:** 12182 E HAWAII DR, AURORA, CO 80012-5302
- **Mailing address phone:** (845) 721-1031

## Taxonomy

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

## Other

- **Enumeration date:** 06/15/2026
- **Last updated:** 06/15/2026