Organization
INDEPENDENT LOVING CARE SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA L TILLMAN JD (OFFICIAL)
(219) 764-9400
Entity
Organization
Contact information
Practice address
744 SWALLOWTAIL CT, VALPARAISO, IN 46385-8191
(708) 516-7964
Mailing address
744 SWALLOWTAIL CT, RICHTON PARK, IL 46385
(708) 516-7964
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
385HR2050X
Respite Care Camp
—
—
Other
Enumeration date
11/25/2009
Last updated
11/25/2009
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