Idependent Daily Living Services, Inc

Organization Active NPI In Home Supportive Care Agency · Kenneth City, FL

NPI 1972800076 · NPPES record last updated Feb 25, 2011

Key facts

NPI
1972800076
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
IDEPENDENT DAILY LIVING SERVICES, INC
Practice address
5524 52ND Ave N
Kenneth City, FL 33709-3765
Phone
(727) 642-2699
Fax
(727) 545-0949
NPI assigned
Feb 25, 2011
Organization subpart
No

Authorized official

Name
Mr. Lawrence Earl Geiger III, MS, CCC-SLP
Title
VP
Phone
(727) 642-2699

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X FL Yes

Addresses

Primary practice location

5524 52ND Ave N
Kenneth City, FL 33709-3765

Mailing address

5524 52ND Ave N
Kenneth City, FL 33709-3765
Phone (727) 642-2699

Other identifiers

IdentifierTypeStateIssuer
003055900MedicaidFL

Other providers in Kenneth City, FL

All providers in Kenneth City, FL · In Home Supportive Care Agency in Florida

Sources for this page

Verify at the official NPI Registry.