Life, a Center for Independent Living

NPI #1760813653 in Pocatello, Idaho

Provider Information

NPI Number: 1760813653
Entity Type: Organization
Organization Name: Life, a Center for Independent Living
Primary Specialty: In Home Supportive Care
Enumeration Date: Dec 3, 2013
Last Updated: May 21, 2025

Practice Location

Address: 640 PERSHING AVE
Address 2: 1
City: Pocatello
State: Idaho
ZIP Code: 83201-3702
Phone: (208) 232-2747

Authorized Official

Name: MICHAEL LEFEVOR
Title: EXECUTIVE DIRECTOR
Phone: (208) 232-2747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X
Community/Behavioral Health	251S00000X
In Home Supportive Care	253Z00000X	Primary

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