Independence, Inc.

NPI #1588610273 in Idaho Falls, Idaho

Provider Information

NPI Number: 1588610273
Entity Type: Organization
Organization Name: Independence, Inc.
Primary Specialty: Case Management
Enumeration Date: May 25, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1230 N SKYLINE, STE A
Address 2: 1230 N SKYLINE, STE A
City: Idaho Falls
State: Idaho
ZIP Code: 83405
Phone: (208) 524-0881

Authorized Official

Name: MRS. DIANE ELAINE MOORE, LSW
Title: ADMINISTRATOR
Phone: (208) 524-0881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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