NPI 1013031707

Independence, INC.

Organisation Community/Behavioral Health Agency Idaho Falls, ID

Practice location

Address: 1230 N Skyline Dr STE. a, Idaho Falls, ID 83402-1720
Phone: (208) 524-0881
Fax: (208) 524-0886

Authorised official

Name: Diane Elaine Moore
Title: Administrator
Phone: (208) 524-0881

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Idaho →

Registry record

NPI: 1013031707
Entity type: Organization
NPI issued: 19 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.