Organization
INITIAL INDEPENDENCE, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN SHAFER (DIRECTOR OF OPERATIONS)
(615) 512-6876
Entity
Organization
Contact information
Practice address
5238 STARNES DR, MURFREESBORO, TN 37128-4594
(615) 512-6876
Mailing address
5238 STARNES DRIVE, MURFREESBORO, TN 37128
(615) 512-6876
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/18/2011
Last updated
10/31/2011
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