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

Supportive Living Services, Inc

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1205900305

Supportive Living Services, Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Erie, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
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

210 E 2nd St
Erie, PA 16507-1559
Phone: (814) 454-1252
Fax: (814) 456-3133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X · Licence 437090 (PA)

Record details

NPI number1205900305
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mona Buschak — Executive Director · (814) 454-1252
NPI enumeratedNovember 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing address210 E 2nd St, Erie, PA 16507-1559

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