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Organization
LIVING AN INDEPENDENT LIFESTYLE
Active
Organization
LIVING AN INDEPENDENT LIFESTYLE
Active
Other names
Living An Independent Lifestyle
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ABERNATHY-LANE (OWNER)
(313) 610-6327
Entity
Organization
Contact information
Practice address
22400 LUCERNE DR APT 101, SOUTHFIELD, MI 48075-5934
(313) 610-6327
Mailing address
22400 LUCERNE DR APT 101, SOUTHFIELD, MI 48075-5934
(313) 610-6327
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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