Organization · NPI-2

Ann Arbor Center For Independent Living

In Home Supportive Care · Ann Arbor, MI

NPI number1417197252
StatusActive
Last updated in NPPESMar 22, 2022

Details

NPI
1417197252
Entity type
Organization (NPI-2)
Legal business name
Ann Arbor Center For Independent Living
Organization subpart
No
Enumeration date
Mar 5, 2009
Certification date
Mar 22, 2022
Last updated
Mar 22, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
1041C0700X Social Worker, Clinical6801062814MI
1041C0700X Social Worker, Clinical6801067044MI
1041C0700X Social Worker, Clinical6801089981MI
251B00000X Case Management––

Practice location

3941 Research Park Drive
Ann Arbor, MI 48108-2215

Phone 734-971-0277 · Fax 734-971-0826

Mailing address

3941 Research Park Drive
Ann Arbor, MI 48108-2215

Phone 734-971-0277 · Fax 734-971-0826

Authorized official

Lewis Alexander Gossage
Executive Director, Interim
7349710277

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