Organization
SUPPORTS FOR COMMUNITY LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH NALLEY (CEO)
(502) 690-1511
Entity
Organization
Contact information
Practice address
5115 S 3RD ST, LOUISVILLE, KY 40214-2601
(502) 233-3030
(502) 719-8161
Mailing address
5115 S 3RD ST, LOUISVILLE, KY 40214-2601
(502) 233-3030
(502) 719-8161
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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