Organization
INDEPENDENT LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA POTTER (COMPTROLLER)
(845) 565-1162
Entity
Organization
Contact information
Practice address
5 WASHINGTON TER, NEWBURGH, NY 12550-5338
(845) 565-1162
(845) 565-0567
Mailing address
5 WASHINGTON TER, NEWBURGH, NY 12550-5338
(845) 565-1162
(845) 565-0567
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01738930
—
NY
Enumeration date
04/06/2007
Last updated
05/08/2008
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