Organization
LIVING INDEPENDENTLY FOREVER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL EVANS (CHIEF OPERATING OFFICER)
(508) 418-5666
Entity
Organization
Contact information
Practice address
550 LINCOLN ROAD EXT, HYANNIS, MA 02601-6233
(508) 418-5666
(508) 778-4919
Mailing address
550 LINCOLN ROAD EXT, HYANNIS, MA 02601-6233
(508) 418-5666
(508) 778-4919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
10/12/2020
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