# INDEPENDENT LIVING RESOURCE CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497834667
- **Authorized official:** MRS. STEPHANIE COX MSW (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (573) 556-0400

## Contact information

- **Practice address:** 3620 W TRUMAN BLVD STE D, JEFFERSON CITY, MO 65109-6125
- **Practice address phone:** (573) 556-0400
- **Practice address fax:** (573) 556-0402
- **Mailing address:** PO BOX 6787, JEFFERSON CITY, MO 65102-6787
- **Mailing address phone:** (573) 556-0400
- **Mailing address fax:** (573) 556-0402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 01/15/2008