| NPI | 1477793081 |
|---|---|
| Doing Business As | INDEPENDENT LIVING PROFESSIONAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | SHERRY PORTER BEDOYA President 757-761-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2009-02-23 |