# INDEPENDENCE SUPPORT SERVICES LLC

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

## Provider details

- **NPI number:** 1679409890
- **Authorized official:** JOSHUA KELLEE MENDES-YESUFU (CEO)
- **Authorized official phone:** (617) 688-7761

## Contact information

- **Practice address:** 22313 GREGORY ST APT 2, DEARBORN, MI 48124-3795
- **Practice address phone:** (617) 688-7761
- **Mailing address:** 22313 GREGORY ST APT 2, DEARBORN, MI 48124-3795
- **Mailing address phone:** (617) 688-7761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/23/2026
- **Last updated:** 06/23/2026