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Organization

INDEPENDENCE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TODD ACKERMAN (PRESIDENT)
(401) 273-8888
Entity
Organization

Contact information

Practice address
2224 PAWTUCKET AVE UNIT 3, EAST PROVIDENCE, RI 02914-1716
(401) 273-8888
(401) 273-9986
Mailing address
2224 PAWTUCKET AVE UNIT 3, EAST PROVIDENCE, RI 02914-1716
(401) 273-8888
(401) 273-9986

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1440001
RI
Enumeration date
12/18/2006
Last updated
12/07/2022
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