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Organization
ANN ARBOR CENTER FOR INDEPENDENT LIVING
Active
Organization
ANN ARBOR CENTER FOR INDEPENDENT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEWIS ALEXANDER GOSSAGE (EXECUTIVE DIRECTOR, INTERIM)
(734) 971-0277
Entity
Organization
Contact information
Practice address
3941 RESEARCH PARK DRIVE, ANN ARBOR, MI 48108-2215
(734) 971-0277
(734) 971-0826
Mailing address
3941 RESEARCH PARK DRIVE, ANN ARBOR, MI 48108-2215
(734) 971-0277
(734) 971-0826
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801062814
MI
1041C0700X
Clinical Social Worker
6801067044
MI
1041C0700X
Clinical Social Worker
6801089981
MI
251B00000X
Case Management Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
03/05/2009
Last updated
03/22/2022
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