Supported Living Inc
Restricted
Supported Living Inc is subject to Restricted. See the individual lists below.
View Citation
Address
400 Fontaine PlaceSuite 101Ridgeland, MS 39157
ID Details
ID NUMBER : 1215166624
ID TYPE : NPI
ID TYPE : PA License Number
ID NUMBER : 1215166624
ID TYPE : Provider Npi Number
View Notes
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Supported Living Inc Sanctioned By Below Authorities
| List Name | List Authority | Effective Date ▼ | Status |
|---|---|---|---|
| The Mississippi Division of Medicaid | Jan 7, 2015 | active |
| U.S. Other Government Agencies | Mar 16, 2015 | active |
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