Organization
INDEPENDENT LIVING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYANNA GEISLER (EXECUTIVE DIRECTOR)
(907) 235-7911
Entity
Organization
Contact information
Practice address
265 E PIONEER AVE, SUITE 201, HOMER, AK 99603-7533
(907) 235-7911
(907) 235-6236
Mailing address
PO BOX 2474, HOMER, AK 99603-2474
(907) 235-7911
(907) 235-6236
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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