Creating Independence III LLC

NPI #1538511860 in Wayland, Michigan

Provider Information

NPI Number
1538511860
Entity Type
Organization
Organization Name
Creating Independence III LLC
Primary Specialty
In Home Supportive Care
Enumeration Date
Jul 11, 2016
Last Updated
Jul 13, 2016

Practice Location

Address
416 E SUPERIOR ST
ZIP Code
49348-1146
Phone
(269) 509-7266

Authorized Official

Name
JACOB DAMRON, CARE PROVIDER
Title
MEMBER OWNER
Phone
(269) 509-7266

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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