Provider Demographics
NPI:1851549919
Name:INDEPENDENT LIVING SOLUTIONS
Entity Type:Organization
Organization Name:INDEPENDENT LIVING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:HOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-779-4907
Mailing Address - Street 1:12110 MOSLEY LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78727-6037
Mailing Address - Country:US
Mailing Address - Phone:512-779-4907
Mailing Address - Fax:501-638-3398
Practice Address - Street 1:12110 MOSLEY LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78727-6037
Practice Address - Country:US
Practice Address - Phone:512-779-4907
Practice Address - Fax:501-638-3398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
TXPI3466333300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies