Independent Lifestyles, Inc.
NPI #1144852732 in Sauk Rapids, Minnesota
Provider Information
- NPI Number
- 1144852732
- Entity Type
- Organization
- Organization Name
- Independent Lifestyles, Inc.
- Primary Specialty
- Case Management
- Enumeration Date
- Feb 11, 2020
- Last Updated
- Dec 3, 2021
Practice Location
- Address
- 215 N BENTON DR
- City
- Sauk Rapids
- State
- Minnesota
- ZIP Code
- 56379-1530
- Phone
- (320) 529-9000
Authorized Official
- Name
- JENNIFER A HERMANSON
- Title
- ADMINISTRATIVE DIRECTOR
- Phone
- (320) 281-2027
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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