# INDEPENDENT LOVING CARE SOLUTIONS, LLC

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

## Provider details

- **NPI number:** 1558699801
- **Authorized official:** MRS. PAULA L TILLMAN JD (OFFICIAL)
- **Authorized official phone:** (219) 764-9400

## Contact information

- **Practice address:** 744 SWALLOWTAIL CT, VALPARAISO, IN 46385-8191
- **Practice address phone:** (708) 516-7964
- **Mailing address:** 744 SWALLOWTAIL CT, RICHTON PARK, IL 46385
- **Mailing address phone:** (708) 516-7964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251G00000X | Community Based Hospice Care Agency | — | — | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | — | Yes |
| 385HR2050X | Respite Care Camp | — | — | — |

## Other

- **Enumeration date:** 11/25/2009
- **Last updated:** 11/25/2009