Organization
SUPPORTIVE LIVING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN PRAPPAS (OWNER)
(248) 229-5372
Entity
Organization
Contact information
Practice address
700 TOBIN DR APT 3, INKSTER, MI 48141-3531
(313) 982-1473
Mailing address
PO BOX 725168, BERKLEY, MI 48072-5168
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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