Organization
IDEPENDENT DAILY LIVING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE EARL GEIGER III MS, CCC-SLP (VP)
(727) 642-2699
Entity
Organization
Contact information
Practice address
5524 52ND AVE N, KENNETH CITY, FL 33709-3765
(727) 642-2699
(727) 545-0949
Mailing address
5524 52ND AVE N, KENNETH CITY, FL 33709-3765
(727) 642-2699
(727) 545-0949
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003055900
—
FL
Enumeration date
02/25/2011
Last updated
02/25/2011
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