Independent Living, LLC
NPI #1184194631 in Alhambra, California
Provider Information
- NPI Number
- 1184194631
- Entity Type
- Organization
- Organization Name
- Independent Living, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Nov 27, 2018
- Last Updated
- Nov 27, 2018
Practice Location
- Address
- 128 N 4TH ST
- City
- Alhambra
- State
- California
- ZIP Code
- 91801-3410
- Phone
- (626) 656-6200
Authorized Official
- Name
- MR. GREGORY SCOTT TILLMAN
- Title
- ADMINISTRATOR/ MANAGER
- Phone
- (626) 863-6349
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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