Independence Place, Inc.

LBN: Independence Place, Inc.
Independence Place, Inc. is an health care organization with primary practice located at 1705 S Park Ave , Herrin IL 62948-4166. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Independence Place, Inc. can be contacted via phone (618) 942-7964, or through Dodson, Jane M via phone (618) 327-9846.

Contact Information

Primary practice address
1705 S Park Ave Herrin IL 62948-4166
Phone: (618) 942-7964
Fax: (618) 942-6191
Website:
Map and Directions
Authorized official contact:
Name: Dodson, Jane M
Phone: (618) 327-9846

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 0037994 Illinois

Profile Details

NPI number 1871717678
LBN Legal business name Independence Place, Inc.
DBA Doing business as
Authorized official Dodson, Jane M
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2007
Last updated Aug 22nd, 2020 - about 4 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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