Organization
LIVING INDEPENDENCE NETWORK CORPORATION
Active
Other names
LINC
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER HOWARD (EXECUTIVE DIRECTOR)
(208) 336-3335
Entity
Organization
Contact information
Practice address
1878 W OVERLAND RD, BOISE, ID 83705-3142
(208) 336-3335
(208) 384-5037
Mailing address
1878 W OVERLAND RD, BOISE, ID 83705-3142
(208) 336-3335
(208) 384-5037
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805425200
—
ID
Enumeration date
09/03/2009
Last updated
09/03/2009
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