Organization
LIVING INDEPENDENTLY FOREVER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW PEARCE (BUSINESS ADMINISTRATOR, OWNER)
(208) 888-0076
Entity
Organization
Contact information
Practice address
8620 W EMERALD ST, SUITE 150, BOISE, ID 83704-4824
(208) 888-0076
(208) 888-1335
Mailing address
8620 W EMERALD ST, SUITE 130, BOISE, ID 83704-4824
(208) 888-0076
(208) 888-1335
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
3LIFE055
ID
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
4LIFE052
ID
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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