Organization
INDEPENDENCE CARE OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON VIAR (CEO)
(917) 733-1135
Entity
Organization
Contact information
Practice address
235 N BELAIR RD STE 207, EVANS, GA 30809-3357
(845) 559-3081
Mailing address
3301 BONITA BEACH RD STE 208, BONITA SPRINGS, FL 34134-7835
(845) 559-3081
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
03/16/2023
Last updated
05/28/2026
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