Independent Living Services

LBN: Independent Living Services
Independent Living Services is an health care organization with primary practice located at 1105 Deer St Ste 9 , Conway AR 72032-5450. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Independent Living Services can be contacted via phone (501) 327-5883, or through Fliss, Jackie via phone (501) 327-5234.

Contact Information

Primary practice address
1105 Deer St Ste 9 Conway AR 72032-5450
Phone: (501) 327-5883
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fliss, Jackie
Phone: (501) 327-5234

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X OTR-1868 Arkansas

Profile Details

NPI number 1245483262
LBN Legal business name Independent Living Services
DBA Doing business as
Authorized official Fliss, Jackie
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2008
Last updated Nov 4th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245483262 NPPES
Arkansas MEDICAID 152002721

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