Creating Independence LLC

NPI #1427371293 in Wayland, Michigan

Provider Information

NPI Number
1427371293
Entity Type
Organization
Organization Name
Creating Independence LLC
Primary Specialty
Health Maintenance Organization
Enumeration Date
Mar 9, 2010
Last Updated
Mar 9, 2010

Practice Location

Address
416 E SUPERIOR ST
ZIP Code
49348-1146
Phone
(269) 838-4660

Authorized Official

Name
LETTY RUTH SHERRY
Title
OFFICE MANAGER
Phone
(269) 650-1373

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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