Organization
INDEPENDENT LIVING AT IT'S BEST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MAEHELLENA POLK (OWNER)
(314) 656-1416
Entity
Organization
Contact information
Practice address
7220 N LINDBERGH BLVD STE 90, HAZELWOOD, MO 63042-2019
(314) 656-1416
(314) 656-1557
Mailing address
7220 N LINDBERGH BLVD STE 90, HAZELWOOD, MO 63042-2019
(314) 656-1416
(314) 656-1557
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
251G00000X
MO
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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