Organization Name: | INDEPENDENT LIFE SOLUTIONS |
NPI Number: | 1518281518 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH R.K. TOMOSO (OCCUPATIONAL THERAPIST) |
Mailing Address: | 768 Kekona Pl Makawao |
State: | HI US |
Postal Code: | 967689028 |
Phone Number: | 8082805176 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2010 |
NPI Last Update Date: | 03/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | OT-495 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |