Southern Iowa Independent Living, Inc.

LBN: Southern Iowa Independent Living, Inc.
Southern Iowa Independent Living, Inc. is an health care organization with primary practice located at 2219 W Hills Dr , Fairfield IA 52556-4739. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Southern Iowa Independent Living, Inc. can be contacted via phone (641) 919-8003, or through Alexander, Judy Ann via phone (641) 919-8003.

Contact Information

Primary practice address
2219 W Hills Dr Fairfield IA 52556-4739
Phone: (641) 919-8003
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Alexander, Judy Ann LBSW
Phone: (641) 919-8003

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1659746360
LBN Legal business name Southern Iowa Independent Living, Inc.
DBA Doing business as
Authorized official Alexander, Judy Ann LBSW
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2015
Last updated Dec 7th, 2015 - about 10 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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