Independence House, LLC
NPI #1477674984 in Bloomfield Hills, Michigan
Provider Information
- NPI Number
- 1477674984
- Entity Type
- Organization
- Organization Name
- Independence House, LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Apr 2, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5561 FRANKLIN RD
- City
- Bloomfield Hills
- State
- Michigan
- ZIP Code
- 48301-1158
- Phone
- (248) 538-9578
Authorized Official
- Name
- MR. GARY ERNEST ROMANELLI
- Title
- COO & CFO
- Phone
- (248) 350-8070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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