Organization
INDEPENDENT LIFE CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIJON AVERIL TURNER (PRESIDENT)
(949) 933-6766
Entity
Organization
Contact information
Practice address
8800 BROADWAY ST STE 202, SAN ANTONIO, TX 78217-6335
(949) 933-6766
Mailing address
8800 BROADWAY ST STE 202, SAN ANTONIO, TX 78217-6335
(949) 933-6766
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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