Northeast Independent Living Services

NPI #1952426496 in Hannibal, Missouri

Provider Information

NPI Number: 1952426496
Entity Type: Organization
Organization Name: Northeast Independent Living Services
Primary Specialty: Technician - Personal Care Attendant
Enumeration Date: Mar 21, 2007
Last Updated: Nov 1, 2023

Practice Location

Address: 4500 PARIS GRAVEL RD
City: Hannibal
State: Missouri
ZIP Code: 63401-5422
Phone: (573) 221-8282

Authorized Official

Name: MRS. BROOKE KENDRICK
Title: EXECUTIVE DIRECTOR
Phone: (573) 221-8282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nursing Care	251J00000X
Supports Brokerage	251X00000X
In Home Supportive Care	253Z00000X
Technician - Personal Care Attendant — Personal Care Attendant	3747P1801X	Primary

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