Independence, INC

NPI #1962525717 in Idaho Falls, Idaho

Provider Information

NPI Number: 1962525717
Entity Type: Organization
Organization Name: Independence, INC
Primary Specialty: Case Management
Enumeration Date: Apr 9, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1230 N SKYLINE DR STE A
City: Idaho Falls
State: Idaho
ZIP Code: 83402-1769
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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