Supportive Alternative Living

NPI #1649706284 in Milford, Michigan

Provider Information

NPI Number
1649706284
Entity Type
Organization
Organization Name
Supportive Alternative Living
Primary Specialty
Exclusive Provider Organization
Enumeration Date
May 2, 2017
Last Updated
May 2, 2017

Practice Location

Address
425 W HURON ST
Address 2
SUITE #130
ZIP Code
48381-2242
Phone
(248) 685-2639

Authorized Official

Name
PATRICIA H.F PETERS
Title
EXECUTIVE DIRECTOR
Phone
(248) 685-2639

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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