| Organization Name: | INDEPENDENT LIVING SOLUTION |
| NPI Number: | 1477885788 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARSHA LYNNE DANIELS (CEO) |
| Mailing Address: | 125 E Jackson Blvd Ste 15 Jonesborough |
| State: | TN US |
| Postal Code: | 376595198 |
| Phone Number: | 4237532314 |
| Fax Number: | 4237883004 |
| NPI Enumeration Date: | 02/11/2010 |
| NPI Last Update Date: | 02/11/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | L000000004327 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |