Organization
SUPPORTIVE LIVING LLC
Active
Other names
Supportive Living Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKENDRIA BROWN (OWNER)
(256) 400-1553
Entity
Organization
Contact information
Practice address
117 OAK TERRACE LN, HARVEST, AL 35749-1202
(256) 400-1553
Mailing address
117 OAK TERRACE LN, HARVEST, AL 35749-1202
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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