| NPI | 1881731271 |
|---|---|
| Other Name | INDEPENDENT LIVING IN-HOME CARE |
| Entity Type | Organization |
| Authorized Contact | STORMI L. NORDSTROM Office Manager 417-659-8086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 253Z00000X In Home Supportive Care | |
| 261QH0100X Clinic/Center, Health Services | |
| 372500000X Chore Provider | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2022-10-19 |