| Organization Name: | INDEPENDENT LIVING SOLUTIONS |
| NPI Number: | 1659732360 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRENT MEGAHAN (PRESIDENT) |
| Mailing Address: | 7714 Beech St Ne Fridley |
| State: | MN US |
| Postal Code: | 554322512 |
| Phone Number: | 6127437373 |
| Fax Number: | 7635715870 |
| NPI Enumeration Date: | 03/09/2016 |
| NPI Last Update Date: | 03/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | BC630902 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |