# MY INDEPENDENT LIVING INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** My Independent Living Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841674918
- **Authorized official:** MRS. MISTY LYNN LAWRENCE (OWNER)
- **Authorized official phone:** (586) 806-2242

## Contact information

- **Practice address:** 29417 HOOVER RD, WARREN, MI 48093-3480
- **Practice address phone:** (586) 806-2242
- **Mailing address:** 29417 HOOVER RD, WARREN, MI 48093-3480
- **Mailing address phone:** (586) 806-2242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | MI | Yes |

## Other

- **Enumeration date:** 07/17/2015
- **Last updated:** 07/17/2015