OrganizationActive
Independance Modifications Inc
NPI 1114099165 · Home Modifications Contractor · Isanti, MN
Provider details
- NPI number
- 1114099165
- Entity type
- Organization
- Primary specialty
- Home Modifications ContractorOther Service Providers
- Organization subpart
- No
- Authorized official
- Brent Kelsey, President(651) 755-4459
- License
- 20529716 (MN)
Specialties & taxonomies
Other Service Providers
Practice location
24819 Lever St Ne
Isanti, MN 55040-4648
Phone: (651) 755-4459
Fax: (763) 444-6851
Approximate (ZIP-level) locationGet directions
Mailing address
24819 Lever St Ne
Isanti, MN 55040-4648
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.