Organization
SUPPORTED LIVING AND EMPLOYMENT SERVICES, INC.
Active
Other names
Firefly
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA R CARTER (VICE PRESIDENT, MANAGED CARE)
(417) 761-5126
Entity
Organization
Contact information
Practice address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 869-8911
Mailing address
1111 S GLENSTONE AVE STE 3-100, SPRINGFIELD, MO 65804-0397
(417) 869-8911
(417) 864-3087
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
CC01430115
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
853297406
—
MO
Enumeration date
05/13/2015
Last updated
01/08/2026
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