| NPI | 1285720185 |
|---|---|
| Doing Business As | INDEPENDENT LIFE AT HOME |
| Entity Type | Organization |
| Authorized Contact | ELLEN B BOLCH President CEO 912-629-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: GA 025r0020) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2008-06-19 |