Independent Living Services, Inc. (ils)

NPI #1639336340 in Anna, Illinois

Provider Information

NPI Number: 1639336340
Entity Type: Organization
Organization Name: Independent Living Services, Inc. (ils)
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 20, 2008
Last Updated: May 20, 2008

Practice Location

Address: 158 E VIENNA ST
City: Anna
State: Illinois
ZIP Code: 62906-1840
Phone: (618) 833-5070

Authorized Official

Name: MR. JAMES A. KELLER
Title: ADMINISTRATOR/OWNER
Phone: (618) 833-5070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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