Provider Demographics
NPI:1598819435
Name:WEST-CENTRAL INDEPENDENT LIVING SOLUTIONS
Entity Type:Organization
Organization Name:WEST-CENTRAL INDEPENDENT LIVING SOLUTIONS
Other - Org Name:WILS IN-HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LYMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TRACHSLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-422-7883
Mailing Address - Street 1:710 COLLEGE AVE.
Mailing Address - Street 2:SUITE D
Mailing Address - City:WARRENSBURG
Mailing Address - State:MO
Mailing Address - Zip Code:64093
Mailing Address - Country:US
Mailing Address - Phone:660-422-7883
Mailing Address - Fax:660-422-7895
Practice Address - Street 1:710 COLLEGE AVE.
Practice Address - Street 2:SUITE D
Practice Address - City:WARRENSBURG
Practice Address - State:MO
Practice Address - Zip Code:64093
Practice Address - Country:US
Practice Address - Phone:660-422-7883
Practice Address - Fax:660-422-7895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health