# THE SUPPORTED LIVING GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Supported Living Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962278119
- **Authorized official:** KIMBERLY BRISSON (VICE PRESIDENT, COO)
- **Authorized official phone:** (860) 933-6284

## Contact information

- **Practice address:** 113 SCHOOL ST, DANIELSON, CT 06239-3022
- **Practice address phone:** (860) 933-6284
- **Practice address fax:** (860) 412-9232
- **Mailing address:** 113 SCHOOL ST, DANIELSON, CT 06239-3022
- **Mailing address phone:** (860) 933-6284
- **Mailing address fax:** (860) 412-9232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/29/2023
- **Last updated:** 11/29/2023