NPI | 1114026556 |
---|---|
Doing Business As | INDEPENDENT LIVING AIDS |
Entity Type | Organization |
Authorized Contact | WANDA PATRICIA MULLIS Vice President 706-965-3801 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 656) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2020-08-22 |