Northeast Independent Living Services

NPI #1457528085 in Hannibal, Missouri

Provider Information

NPI Number: 1457528085
Entity Type: Organization
Organization Name: Northeast Independent Living Services
Primary Specialty: Homemaker
Enumeration Date: May 13, 2008
Last Updated: Mar 8, 2023

Practice Location

Address: 4500 PARIS GRAVEL RD
City: Hannibal
State: Missouri
ZIP Code: 63401-5422
Phone: (573) 221-8282

Authorized Official

Name: TARA FORTNER
Title: FINANCE DIRECTOR
Phone: (573) 221-8282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nursing Care	251J00000X
Supports Brokerage	251X00000X
In Home Supportive Care	253Z00000X
Chore Provider	372500000X
Respite Care	385H00000X
Homemaker	376J00000X	Primary

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