Organization
INDEPENDENCE THERAPY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R BLUST (PRESIDENT)
(828) 265-0309
Entity
Organization
Contact information
Practice address
1221 BROAD ST, FUQUAY VARINA, NC 27526-3602
(919) 552-4580
Mailing address
638 GEORGE WILSON RD, BOONE, NC 28607-8613
(828) 265-0309
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2347703
NC
Other
Enumeration date
12/08/2006
Last updated
02/12/2008
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