Organization
INDEPENDENT LIVING SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT MEGAHAN CAPS (PRESIDENT)
(612) 743-7373
Entity
Organization
Contact information
Practice address
7714 BEECH ST NE, FRIDLEY, MN 55432-2512
(612) 743-7373
(763) 571-5870
Mailing address
7714 BEECH ST NE, FRIDLEY, MN 55432-2512
(612) 743-7373
(763) 571-5870
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
BC630902
MN
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
03/09/2016
Last updated
05/03/2024
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