| NPI | 1013484161 |
|---|---|
| Doing Business As | SUPPORTIVE LIVING HOME CARE |
| Entity Type | Organization |
| Authorized Contact | SHAKENDRIA BROWN Owner 256-400-1553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-10-26 |