Provider Demographics
NPI:1437357415
Name:INDEPENDENT LIVING, INC.
Entity Type:Organization
Organization Name:INDEPENDENT LIVING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIOVANNONI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-274-7900
Mailing Address - Street 1:2970 CHAPEL VALLEY RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:FITCHBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53711-7424
Mailing Address - Country:US
Mailing Address - Phone:608-274-7900
Mailing Address - Fax:
Practice Address - Street 1:2970 CHAPEL VALLEY RD
Practice Address - Street 2:SUITE 203
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53711-7424
Practice Address - Country:US
Practice Address - Phone:608-274-7900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INDEPENDENT LIVING, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-11
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care