# ANN ARBOR CENTER FOR INDEPENDENT LIVING

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

## Provider details

- **NPI number:** 1417197252
- **Authorized official:** MR. LEWIS ALEXANDER GOSSAGE (EXECUTIVE DIRECTOR, INTERIM)
- **Authorized official phone:** (734) 971-0277

## Contact information

- **Practice address:** 3941 RESEARCH PARK DRIVE, ANN ARBOR, MI 48108-2215
- **Practice address phone:** (734) 971-0277
- **Practice address fax:** (734) 971-0826
- **Mailing address:** 3941 RESEARCH PARK DRIVE, ANN ARBOR, MI 48108-2215
- **Mailing address phone:** (734) 971-0277
- **Mailing address fax:** (734) 971-0826

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 03/05/2009
- **Last updated:** 03/22/2022