Organization
HEURISTICS SUPPORTED LIVING LLC
Active
Organization
HEURISTICS SUPPORTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FONTASHA POWELL PHD (CEO)
(314) 226-2054
Entity
Organization
Contact information
Practice address
3950 SUNFOREST CT STE 200, TOLEDO, OH 43623-4522
(419) 370-2695
Mailing address
1440 N LAKE SHORE DR APT 17A, CHICAGO, IL 60610-5913
(314) 226-2054
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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