# IDEPENDENT DAILY LIVING SERVICES, INC

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

## Provider details

- **NPI number:** 1972800076
- **Authorized official:** MR. LAWRENCE EARL GEIGER III MS, CCC-SLP (VP)
- **Authorized official phone:** (727) 642-2699

## Contact information

- **Practice address:** 5524 52ND AVE N, KENNETH CITY, FL 33709-3765
- **Practice address phone:** (727) 642-2699
- **Practice address fax:** (727) 545-0949
- **Mailing address:** 5524 52ND AVE N, KENNETH CITY, FL 33709-3765
- **Mailing address phone:** (727) 642-2699
- **Mailing address fax:** (727) 545-0949

## Taxonomy

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

## Other

- **Enumeration date:** 02/25/2011
- **Last updated:** 02/25/2011