Supportive Living Services, Inc.
NPI #1205900305 in Erie, Pennsylvania
Provider Information
- NPI Number
- 1205900305
- Entity Type
- Organization
- Organization Name
- Supportive Living Services, Inc.
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Nov 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 210 E 2ND ST
- City
- Erie
- State
- Pennsylvania
- ZIP Code
- 16507-1559
- Phone
- (814) 454-1252
Authorized Official
- Name
- MONA L BUSCHAK, MPA
- Title
- EXECUTIVE DIRECTOR
- Phone
- (814) 454-1252
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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