# COMMUNITY LIVING OPTIONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093220915
- **Authorized official:** LORINDA JUNE ANDERSON (DIRECTOR QA)
- **Authorized official phone:** (269) 343-6355

## Contact information

- **Practice address:** 626 REED AVE, KALAMAZOO, MI 49001-2971
- **Practice address phone:** (269) 343-6355
- **Practice address fax:** (269) 343-0054
- **Mailing address:** 626 REED AVE, KALAMAZOO, MI 49001-2971
- **Mailing address phone:** (269) 343-6355
- **Mailing address fax:** (269) 343-0054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 6801099636 | MI | Yes |

## Other

- **Enumeration date:** 12/14/2017
- **Last updated:** 12/14/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 6801099636 | CASE MANAGER | MI |