# CREATING INDEPENDENCE LLC

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

## Provider details

- **NPI number:** 1427371293
- **Authorized official:** LETTY RUTH SHERRY (OFFICE MANAGER)
- **Authorized official phone:** (269) 650-1373

## Contact information

- **Practice address:** 416 E SUPERIOR ST, WAYLAND, MI 49348-1146
- **Practice address phone:** (269) 838-4660
- **Mailing address:** 416 E SUPERIOR ST, WAYLAND, MI 49348-1146
- **Mailing address phone:** (269) 838-4660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 621610 | MI | Yes |

## Other

- **Enumeration date:** 03/09/2010
- **Last updated:** 03/09/2010