Organization
INDEPENDENT LIFE SERVICES, INC.
Active
Organization
INDEPENDENT LIFE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER BURKE (PRESIDENT)
(480) 917-2034
Entity
Organization
Contact information
Practice address
3641 E SOUTHERN AVE, MESA, AZ 85206-2503
(480) 917-2034
(480) 917-2115
Mailing address
3641 E SOUTHERN AVE, MESA, AZ 85206-2503
(480) 917-2034
(480) 917-2115
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/21/2008
Last updated
11/21/2008
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