Provider Demographics
NPI:1881971026
Name:INDEPENDENT LIVING AT IT'S BEST, LLC
Entity type:Organization
Organization Name:INDEPENDENT LIVING AT IT'S BEST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MAEHELLENA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-653-8859
Mailing Address - Street 1:12378 PINTA DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63138-2646
Mailing Address - Country:US
Mailing Address - Phone:314-653-8859
Mailing Address - Fax:314-584-2072
Practice Address - Street 1:12378 PINTA DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63138-2646
Practice Address - Country:US
Practice Address - Phone:314-653-8859
Practice Address - Fax:314-584-2072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-15
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health