| NPI | 1598941767 |
|---|---|
| Doing Business As | INDEPENDENT LIFE |
| Entity Type | Organization |
| Authorized Contact | JOHN CARL LUNYOU Secretary Of Corp. 573-223-2754 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 385H00000X Respite Care | |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-01-17 |