# ALLY INDEPENDENCE, LLC

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

## Provider details

- **NPI number:** 1689211336
- **Authorized official:** STACEY EAST (CHIEF CARE ADMINISTOR)
- **Authorized official phone:** (916) 717-8148

## Contact information

- **Practice address:** 9717 ELK GROVE FLORIN RD STE F, ELK GROVE, CA 95624-2262
- **Practice address phone:** (800) 630-6156
- **Mailing address:** 9717 ELK GROVE FLORIN RD STE F, ELK GROVE, CA 95624-2262
- **Mailing address phone:** (800) 630-6156

## Taxonomy

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

## Other

- **Enumeration date:** 12/02/2019
- **Last updated:** 12/02/2019