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Organization

INDEPENDENCE FIRST LLC

Active
Other names
RONNIES ADULT DEVELOPMENT HOME, NINA'S INDEPENDENT LIVING, IN ROUTE TRANSPORTATION, INDEPENDENCE FIRST HOME HEALTH AGENCY, HULL ASSISTED LIVING, THRIVE BEHAVIORAL HEALTH & WELLNESS
Organization subpart
No

Provider details

NPI number
Authorized official
TAHJI JACKSON (OWNER)
(623) 274-4036
Entity
Organization

Contact information

Practice address
6057 E UNIVERSITY DR, MESA, AZ 85205-7517
(623) 274-4036
Mailing address
6057 E UNIVERSITY DR, MESA, AZ 85205-7517
(623) 274-4036

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
251G00000X
Community Based Hospice Care Agency
251J00000X
Nursing Care Agency
251S00000X
Community/Behavioral Health Agency
253Z00000X
In Home Supportive Care Agency
Primary
261QA0600X
Adult Day Care Clinic/Center
261QD1600X
Developmental Disabilities Clinic/Center
332U00000X
Home Delivered Meals
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
08/11/2025
Last updated
08/11/2025
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