Southern Iowa Independent Living, Inc.

NPI #1659746360 in Fairfield, Iowa

Provider Information

NPI Number: 1659746360
Entity Type: Organization
Organization Name: Southern Iowa Independent Living, Inc.
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Dec 7, 2015
Last Updated: Dec 7, 2015

Practice Location

Address: 2219 W HILLS DR
City: Fairfield
State: Iowa
ZIP Code: 52556-4739
Phone: (641) 919-8003

Authorized Official

Name: JUDY ANN ALEXANDER, LBSW
Title: CEO
Phone: (641) 919-8003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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