OrganizationActive
Advanced Supported Living Services, LLC
NPI 1922451665 · Developmentally Disabled Services Day Training Agency · Peoria, AZ
Provider details
- NPI number
- 1922451665
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Authorized official
- Michael Churchill, Chief Executive Officer
Practice location
20403 N Lake Pleasant Rd
Suite 117-232
Peoria, AZ 85382-9702
Phone: (480) 548-7446
Fax: (480) 907-1744
Mailing address
20403 N Lake Pleasant Rd
Peoria, AZ 85382-9702
Registry dates
- Enumerated
- 2016-07-18
- Last updated
- 2016-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.