Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Voluntary or Charitable |
251V00000X | 61 | Voluntary Health or Charitable Agency[1] |
| NPI # | 1275749491 |
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| LBN Legal business name | INDEPENDENCE INC | ||||
| Authorized official | JILL ENYART - (CO EXECUTIVE DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/15/2007 | ||||
| Last updated | 02/28/2014 - About 12 years ago | ||||
| Identifiers |
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