Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phoenix Supported Living Inc

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1083750228

Phoenix Supported Living Inc is a Mental Illness Community Based Residential Treatment Facility in Andrews, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19 645 Hwy 19
Andrews, NC 28901
Phone: (828) 389-1795
Fax: (828) 389-1658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X · Licence 8300926 (NC)

Record details

NPI number1083750228
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janet Nemkovich — Director · (828) 389-1795
NPI enumeratedJanuary 29, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2996 Nc 69, Suite 6, Hayesville, NC 28904-7257

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