# ANDERSON HOUSE LLC

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

## Provider details

- **NPI number:** 1619116779
- **Authorized official:** MR. EDWARD MANUEL ANDERSON JR. CACM,CPCM,NCGCII (CEO)
- **Authorized official phone:** (313) 205-0411

## Contact information

- **Practice address:** 16615 BLACKSTONE ST, DETROIT, MI 48219-3854
- **Practice address phone:** (313) 995-7425
- **Mailing address:** 28366 FRANKLIN RIVER DR, 106, SOUTHFIELD, MI 48034-5480
- **Mailing address fax:** (248) 996-8478

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 822780 | MI | Yes |

## Other

- **Enumeration date:** 02/13/2009
- **Last updated:** 02/13/2009