# INDEPENDENT LIVING SERVICES OF CENTRAL MINNESOTA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ILSCM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609473321
- **Authorized official:** JENNIFER PAGE (OWNER)
- **Authorized official phone:** (320) 828-7474

## Contact information

- **Practice address:** 2147 TROOP DR STE 200, SARTELL, MN 56377-4563
- **Practice address phone:** (320) 828-7474
- **Practice address fax:** (320) 323-1177
- **Mailing address:** 1637 4TH AVE N STE 101, SAUK RAPIDS, MN 56379-2782
- **Mailing address phone:** (320) 828-7474
- **Mailing address fax:** (320) 323-1177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/06/2020
- **Last updated:** 11/25/2024