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Organization
MY INDEPENDENT LIVING INC.
Active
Organization
MY INDEPENDENT LIVING INC.
Active
Other names
My Independent Living Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MISTY LYNN LAWRENCE (OWNER)
(586) 806-2242
Entity
Organization
Contact information
Practice address
29417 HOOVER RD, WARREN, MI 48093-3480
(586) 806-2242
Mailing address
29417 HOOVER RD, WARREN, MI 48093-3480
(586) 806-2242
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MI
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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