Provider Demographics
NPI:1275011454
Name:CENTER FOR INDEPENDENCE INC
Entity Type:Organization
Organization Name:CENTER FOR INDEPENDENCE INC
Other - Org Name:CENTER FOR INDEPENDENCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:BS, MS
Authorized Official - Phone:970-241-0315
Mailing Address - Street 1:740 GUNNISON AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-3222
Mailing Address - Country:US
Mailing Address - Phone:970-241-0315
Mailing Address - Fax:
Practice Address - Street 1:740 GUNNISON AVE
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-3222
Practice Address - Country:US
Practice Address - Phone:970-241-0315
Practice Address - Fax:970-245-3341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-31
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty