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Organization
INDEPENDENT LIVING PARTNERS LLC
Active
Organization
INDEPENDENT LIVING PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAKHTAL AHMAD (MANAGER)
(952) 200-4445
Entity
Organization
Contact information
Practice address
8030 OLD CEDAR AVE S STE 125, BLOOMINGTON, MN 55425-1226
(952) 594-0050
Mailing address
8030 OLD CEDAR AVE S STE 125, BLOOMINGTON, MN 55425-1226
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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