Organization
SUPPORTED LIVING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETERS OKOYE (CEO)
(214) 938-1723
Entity
Organization
Contact information
Practice address
7512 KEITH LN, SACHSE, TX 75048-2195
(214) 938-1723
(972) 782-2910
Mailing address
7512 KEITH LN, SACHSE, TX 75048-2195
(214) 938-1723
(972) 782-2910
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/07/2009
Last updated
08/19/2009
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