Provider Demographics
NPI:1760350094
Name:FOUNDATION FOR INDEPENDENT LIVING
Entity type:Organization
Organization Name:FOUNDATION FOR INDEPENDENT LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:G
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-633-3420
Mailing Address - Street 1:PO BOX 467
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25709-0467
Mailing Address - Country:US
Mailing Address - Phone:304-525-3324
Mailing Address - Fax:681-888-5972
Practice Address - Street 1:821 4TH AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-1406
Practice Address - Country:US
Practice Address - Phone:304-525-3324
Practice Address - Fax:681-888-5972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-28
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty