Provider Demographics
NPI:1326574468
Name:INDEPENDENTLY YOURS INC
Entity Type:Organization
Organization Name:INDEPENDENTLY YOURS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEAHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-840-4444
Mailing Address - Street 1:11280 S TWENTY MILE RD
Mailing Address - Street 2:SUITE #112
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-4914
Mailing Address - Country:US
Mailing Address - Phone:303-840-4444
Mailing Address - Fax:303-840-4446
Practice Address - Street 1:11280 S TWENTY MILE RD
Practice Address - Street 2:SUITE #112
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-4914
Practice Address - Country:US
Practice Address - Phone:303-840-4444
Practice Address - Fax:303-840-4446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-10
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies