| NPI | 1780374033 |
|---|---|
| Doing Business As | INDEPENDENT LIFESTYLES LLC |
| Entity Type | Organization |
| Authorized Contact | ADAM HARRIS CEO 757-383-2589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2023-05-10 |