Advanced Supported Living Services, LLC

NPI #1922451665 in Peoria, Arizona

Provider Information

NPI Number: 1922451665
Entity Type: Organization
Organization Name: Advanced Supported Living Services, LLC
Primary Specialty: Day Training, Developmentally Disabled Services
Enumeration Date: Jul 18, 2016
Last Updated: Jul 18, 2016

Practice Location

Address: 20403 N LAKE PLEASANT RD
Address 2: SUITE 117-232
City: Peoria
State: Arizona
ZIP Code: 85382-9702
Phone: (480) 548-7446

Authorized Official

Name: MICHAEL JAMES CHURCHILL, RN
Title: CHIEF EXECUTIVE OFFICER
Phone: (480) 548-7446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X
Day Training, Developmentally Disabled Services	251C00000X	Primary

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