Provider Demographics
NPI:1326208091
Name:SOLUTIONS FOR SUPPORTED LIVING INC
Entity Type:Organization
Organization Name:SOLUTIONS FOR SUPPORTED LIVING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTEVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-510-0645
Mailing Address - Street 1:PO BOX 667
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34681-0667
Mailing Address - Country:US
Mailing Address - Phone:727-510-0645
Mailing Address - Fax:727-784-5906
Practice Address - Street 1:453 CRYSTAL BEACH AVE
Practice Address - Street 2:
Practice Address - City:CRYSTAL BEACH
Practice Address - State:FL
Practice Address - Zip Code:34681
Practice Address - Country:US
Practice Address - Phone:727-510-0645
Practice Address - Fax:727-784-5906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health