# INDEPENDENT SECURE LIVING, INC.

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

## Provider details

- **NPI number:** 1942696612
- **Authorized official:** MR. CRAIG M. BASS (OWNER/PRESIDENT)
- **Authorized official phone:** (401) 318-0058

## Contact information

- **Practice address:** 1615 S CONGRESS AVE, SUITE 103, DELRAY BEACH, FL 33445-6300
- **Practice address phone:** (561) 900-6327
- **Practice address fax:** (866) 618-6094
- **Mailing address:** 7431 W ATLANTIC AVE STE 34, SUITE 121, DELRAY BEACH, FL 33446-3505
- **Mailing address phone:** (561) 900-3627
- **Mailing address fax:** (866) 618-6094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 04/09/2015
- **Last updated:** 04/09/2015