Independent Living Services, Inc.

NPI #1487867123 in Boise, Idaho

Provider Information

NPI Number: 1487867123
Entity Type: Organization
Organization Name: Independent Living Services, Inc.
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: May 8, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1736 N FIVE MILE RD
City: Boise
State: Idaho
ZIP Code: 83713-5408
Phone: (208) 344-2807

Authorized Official

Name: H. MICHAEL DAY
Title: ADMINISTRATOR
Phone: (208) 375-5155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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