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Organization
INDEPENDENT SECURE LIVING, INC.
Active
Organization
INDEPENDENT SECURE LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG M. BASS (OWNER/PRESIDENT)
(401) 318-0058
Entity
Organization
Contact information
Practice address
1615 S CONGRESS AVE, SUITE 103, DELRAY BEACH, FL 33445-6300
(561) 900-6327
(866) 618-6094
Mailing address
7431 W ATLANTIC AVE STE 34, SUITE 121, DELRAY BEACH, FL 33446-3505
(561) 900-3627
(866) 618-6094
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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