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Contact Information

INDEPENDENT LIVING CENTER OF MID-MISSOURI INC.
1401 HATHMAN PL
COLUMBIA, MO65201-5552
 Phone: 573-874-1646
 Fax: 573-874-3564
 Website:
Indicates primary specialty

NPI Profile & details for INDEPENDENT LIVING CENTER OF MID-MISSOURI INC.

NPI Number 1619914538
LBN Legal business name INDEPENDENT LIVING CENTER OF MID-MISSOURI INC.
Authorized official PATRICK LEE - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/31/2006
Last updated 03/22/2022 - About 4 years ago
Identifiers
MO Medicaid 266211309
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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