Independent Lifestyles, LLC

NPI #1427758200 in Greenfield, Wisconsin

Provider Information

NPI Number
1427758200
Entity Type
Organization
Organization Name
Independent Lifestyles, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
LIFE FOR SENIORS LLC
Primary Specialty
Custodial Care Facility
Enumeration Date
Mar 9, 2023
Last Updated
Mar 9, 2023

Practice Location

Address
4013 S 119TH STREET
ZIP Code
53228
Phone
(262) 888-2599

Authorized Official

Name
RACHEL SCHNEIDER
Title
MEMBER
Phone
(636) 734-4327

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Custodial Care Facility

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