Provider Demographics
NPI:1285174698
Name:INTEGRITY SUPPORTIVE LIVING SERVICES
Entity type:Organization
Organization Name:INTEGRITY SUPPORTIVE LIVING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEANA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHLEPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-200-5992
Mailing Address - Street 1:6219 GEMFIELD DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-6107
Mailing Address - Country:US
Mailing Address - Phone:719-200-5992
Mailing Address - Fax:
Practice Address - Street 1:6219 GEMFIELD DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-6107
Practice Address - Country:US
Practice Address - Phone:719-200-5992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-03
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management