Independence, INC
NPI #1245482421 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1245482421
- Entity Type
- Organization
- Organization Name
- Independence, INC
- Primary Specialty
- Nursing Care
- Enumeration Date
- Oct 21, 2008
- Last Updated
- Oct 21, 2008
Practice Location
- Address
- 1230 N SKYLINE DR STE A
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83402-1769
- Phone
- (208) 524-0881
Authorized Official
- Name
- MRS. DIANE ELAINE MOORE, LSW
- Title
- ADMINISTRATOR
- Phone
- (208) 524-0881
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Care |
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