Organization
INDEPENDENT LIVING OF OHIO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH L ACKLEY (CEO)
(937) 323-5856
Entity
Organization
Contact information
Practice address
1610 MITCHELL BLVD, SPRINGFIELD, OH 45503-3416
(937) 323-5856
(937) 323-8408
Mailing address
1610 MITCHELL BLVD, SPRINGFIELD, OH 45503-3416
(937) 323-5856
(937) 323-8408
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2163528
—
OH
Enumeration date
09/15/2020
Last updated
09/15/2020
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