Organization
INDEPENDENT LIVING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE FLISS (EXECUTIVE DIRECTOR)
(501) 327-5234
Entity
Organization
Contact information
Practice address
1615 INDEPENDENCE AVE, CONWAY, AR 72034-3945
(501) 327-5234
(501) 327-7251
Mailing address
PO BOX 1990, CONWAY, AR 72033-1990
(501) 327-5234
(501) 327-7251
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
AR
Other
Enumeration date
03/01/2007
Last updated
08/22/2020
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