Organization
SUPPORTIVE LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDI WEST (OWNER/MANAGER)
(480) 977-9222
Entity
Organization
Contact information
Practice address
10432 W WEST WIND DR., PEORIA, AZ 85383
(480) 977-9222
Mailing address
2240 S DON CARLOS, MESA, AZ 85202-6307
(480) 977-9222
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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