# LIFESTYLE FOR INDEPENDENCE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lifestyly for independence, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912431503
- **Authorized official:** MS. STACIEANN JONES (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (267) 475-4090

## Contact information

- **Practice address:** 16 SOUTH AVENUE WEST \#313, CRANFORD, NJ 07016
- **Practice address phone:** (267) 475-4090
- **Mailing address:** 16 SOUTH AVENUE WEST \#313, CRANFORD, NJ 07016
- **Mailing address phone:** (267) 475-4090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/20/2017
- **Last updated:** 08/12/2024