Independent Home Care of Mi, LLC

NPI #1578991311 in Fenton, Michigan

Provider Information

NPI Number: 1578991311
Entity Type: Organization
Organization Name: Independent Home Care of Mi, LLC
Primary Specialty: Respite Care - Respite Care, Mental Illness, Child
Enumeration Date: Oct 14, 2013
Last Updated: Oct 14, 2013

Practice Location

Address: 14165 N FENTON RD STE 102B
City: Fenton
State: Michigan
ZIP Code: 48430-1148
Phone: (810) 750-2713

Authorized Official

Name: MRS. KATHRYN TRILBY FLICK, BBA/MBA
Title: DIRECTOR OF BUSINESS OPERATIONS
Phone: (810) 750-2713

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care - Respite Care, Mental Illness, Child — Respite Care, Mental Illness, Child	385HR2055X	Primary

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