Provider Demographics
NPI:1376849885
Name:TOWARD INDEPENDENT LIVING AND LEARNING,INC.
Entity Type:Organization
Organization Name:TOWARD INDEPENDENT LIVING AND LEARNING,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FAMILY SUPPORT SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:WATERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-302-4824
Mailing Address - Street 1:21 DUNSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863-1307
Mailing Address - Country:US
Mailing Address - Phone:978-251-9818
Mailing Address - Fax:
Practice Address - Street 1:21 DUNSHIRE DR
Practice Address - Street 2:
Practice Address - City:NORTH CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863-1307
Practice Address - Country:US
Practice Address - Phone:978-251-9818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-31
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA315730253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care