Provider Demographics
NPI:1306373709
Name:INDEPENDENCE PLUS
Entity Type:Organization
Organization Name:INDEPENDENCE PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/ SUPPORT PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ROY
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-985-8111
Mailing Address - Street 1:88 S HOYT ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-1077
Mailing Address - Country:US
Mailing Address - Phone:303-985-8111
Mailing Address - Fax:
Practice Address - Street 1:88 S HOYT ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-1077
Practice Address - Country:US
Practice Address - Phone:303-985-8111
Practice Address - Fax:303-229-2125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-16
Last Update Date:2017-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services