Provider Demographics
NPI:1649464751
Name:EVERYONE LIVING INDEPENDENTLY INC
Entity type:Organization
Organization Name:EVERYONE LIVING INDEPENDENTLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NITA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-797-5506
Mailing Address - Street 1:1136 N 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MITCHELL
Mailing Address - State:IN
Mailing Address - Zip Code:47446-8006
Mailing Address - Country:US
Mailing Address - Phone:812-797-5506
Mailing Address - Fax:
Practice Address - Street 1:1136 N 8TH ST
Practice Address - Street 2:
Practice Address - City:MITCHELL
Practice Address - State:IN
Practice Address - Zip Code:47446-8006
Practice Address - Country:US
Practice Address - Phone:812-797-5506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-31
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health