INDEPENDENCE INC. NPI 1518081223

NPI Information

INDEPENDENCE, INC. is a residential treatment facility, intellectual and/or developmental disabilities in Idaho Falls, ID. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. INDEPENDENCE, INC. NPI is 1518081223. The provider is registered as an organization entity type.

The provider's business location address is:

1230 N SKYLINE DR
STE. A
IDAHO FALLS, ID
ZIP 83402-720
Phone: (208) 524-0881
Fax: (208) 524-0886

The provider's authorized official is Diane Elaine Moore .
The authorized official title is Administrator and has the following contact phone number (208) 524-0881.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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