Independence Lifestyles Inc

NPI 1144567017 - In Home Supportive Care - 253Z00000X

NPI Details
NPI 1144567017
Enumeration Date 01/11/2013
Last Updated 01/11/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JACQUELYN JACQUELYN
Position OWNER
Phone (702) 407-1100
Fax (702) 614-4783
Practice Location
1701 N GREEN VALLEY PKWY
SUITE 9A
HENDERSON NV, 89074-5885, US
Phone (702) 407-1100
Fax (702) 614-4783
Business Location
1701 N GREEN VALLEY PKWY
SUITE 9A
HENDERSON NV, 89074-5885, US
Phone (702) 407-1100
Fax (702) 614-4783
Toxanomy
Taxonomy Code 253Z00000X
License State Nevada
License Number 5291PCS-3
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According to our database, Independence Lifestyles Inc NPI is 1144567017, taxonomy code is 253Z00000X and license number is 5291PCS-3, license state is located at Nevada. Independence Lifestyles Inc physically located at 1701 N Green Valley Pkwy, Henderson NV, 89074-5885. NPI Number 1033115704 has the healthcare provider type.

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1144567017 NPI number is provided on an as is basis without warranty of any kind. 1144567017 is maintained by the National Plan & Provider Enumeration System. The contents of Independence Lifestyles Inc are for informational purposes only.