Organization
INDEPENDENT LIVING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRIS ELLETT (PRESIDENT)
(435) 652-9397
Entity
Organization
Contact information
Practice address
364 W SAINT GEORGE BOULEVARD, ST. GEORGE, UT 84770
(435) 652-9397
Mailing address
2219 E 2480 S, ST GEORGE, UT 84790-6538
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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