Organization
INDEPENDENT LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA GIOVANNONI (CEO)
(608) 274-7900
Entity
Organization
Contact information
Practice address
815 FORWARD DR, MADISON, WI 53711-2443
(608) 274-7900
Mailing address
815 FORWARD DR, MADISON, WI 53711-2443
(608) 274-7900
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41010900
—
WI
05
—
41651100
—
WI
Enumeration date
04/09/2008
Last updated
04/09/2008
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