Organization · Type 2 NPI

Independent Living Center of Mid-Missouri Inc.

Specialist · Columbia, MO

NPI number 1619914538 Active

Practice location

1401 Hathman Pl
Columbia, MO 65201-5552

Fax (573) 874-3564

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	None listed
Supports Brokerage Agency	251X00000X	None listed
In Home Supportive Care Agency	253Z00000X	None listed
Personal Care Attendant	3747P1801X	None listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Other specialist providers in Columbia

See all in Columbia →

NPI record

NPI: 1619914538
Entity type: Organization (Type 2)
Issued: May 31, 2006
Last updated: Mar 22, 2022
Status: Active

Other names

<unavail>
Services for Independent Living · doing business as
Services for Independent Living · doing business as

Authorized official

Mr. Patrick Lee
Executive Director
(573) 874-1646

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1619914538

Independent Living Center of Mid-Missouri Inc.'s National Provider Identifier is 1619914538, issued on May 31, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Columbia, MO. The record was last updated on Mar 22, 2022.