Organization
INDEPENDENT LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELYN BLANEY (DIRECTOR)
(225) 924-7998
Entity
Organization
Contact information
Practice address
474 N FOSTER DR, BATON ROUGE, LA 70806-3561
(225) 924-7998
(225) 924-7715
Mailing address
474 N FOSTER DR, BATON ROUGE, LA 70806-3561
(225) 924-7998
(225) 924-7715
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4173
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1926418
—
LA
Enumeration date
03/07/2008
Last updated
03/12/2008
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