Organization
INDEPENDENT LIVING SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA M MILLER (OWNER)
(419) 585-4213
Entity
Organization
Contact information
Practice address
2563 S TOWNSHIP ROAD 181, BLOOMVILLE, OH 44818-9111
(419) 585-4213
Mailing address
2563 S TOWNSHIP ROAD 181, BLOOMVILLE, OH 44818-9111
(419) 585-4213
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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