Independent Lifestyles, Inc.
NPI #1124273479 in New Berlin, Wisconsin
Provider Information
- NPI Number
- 1124273479
- Entity Type
- Organization
- Organization Name
- Independent Lifestyles, Inc.
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Nov 28, 2008
- Last Updated
- Nov 28, 2008
Practice Location
- Address
- 4405 S DEERWOOD DR
- City
- New Berlin
- State
- Wisconsin
- ZIP Code
- 53151-9240
- Phone
- (262) 782-6068
Authorized Official
- Name
- MR. DAN ALAN HOECHERL, RN
- Title
- ADMINISTRATOR/NURSE
- Phone
- (414) 241-5010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Physical Disabilities |
| Community Based Residential Treatment Facility, Mental Illness |
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