Organization
SUPPORTIVE LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT G HADDON (PRESIDENT)
(785) 422-2516
Entity
Organization
Contact information
Practice address
4021 SW 10TH AVE # 205, TOPEKA, KS 66604-1916
(785) 422-2516
Mailing address
4021 SW 10TH AVE # 205, TOPEKA, KS 66604-1916
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
100405620A
KS
Other
Enumeration date
01/23/2007
Last updated
07/30/2012
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