Healthcare Provider Details

I. General information

NPI: 1861311292
Provider Name (Legal Business Name): ISA AND ASH SUPPORTIVE LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 08/23/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

354 MALLARD RD
WESTON FL
33327-1122
US

IV. Provider business mailing address

354 MALLARD RD
WESTON FL
33327-1122
US

V. Phone/Fax

Practice location:
  • Phone: 405-922-5559
  • Fax:
Mailing address:
  • Phone: 405-922-5559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MEGAN ASHLI MCKEE
Title or Position: OWNER/ EXECUTIVE DIRECTOR
Credential:
Phone: 405-922-5559