Provider Demographics
NPI:1982861498
Name:CENTER ON INDEPENDENT LIVING
Entity Type:Organization
Organization Name:CENTER ON INDEPENDENT LIVING
Other - Org Name:COIL
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:R
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-846-4538
Mailing Address - Street 1:611 S SEGUIN RD
Mailing Address - Street 2:
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-2003
Mailing Address - Country:US
Mailing Address - Phone:210-655-2333
Mailing Address - Fax:210-655-2338
Practice Address - Street 1:611 S SEGUIN RD
Practice Address - Street 2:
Practice Address - City:CONVERSE
Practice Address - State:TX
Practice Address - Zip Code:78109-2003
Practice Address - Country:US
Practice Address - Phone:210-655-2333
Practice Address - Fax:210-655-2338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management