NPI 1245482421
Independence, INC
Practice location
- Address
- 1230 N Skyline Dr STE a, Idaho Falls, ID 83402-1769
- Phone
- (208) 524-0881
- Fax
- (208) 524-0886
Authorised official
- Name
- Diane Elaine Moore
- Title
- Administrator
- Phone
- (208) 524-0881
Registered specialties
Nursing Care Agency
Primary
Registry record
- NPI
- 1245482421
- Entity type
- Organization
- NPI issued
- 21 Oct 2008
- Record last updated
- 21 Oct 2008
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.