# COORDINATED COMMUNITY LIVING

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

## Provider details

- **NPI number:** 1982705661
- **Authorized official:** MRS. TINA ABBATE-MARZOLF (CEO)
- **Authorized official phone:** (248) 262-9200

## Contact information

- **Practice address:** 29100 NORTHWESTERN HWY STE 400, SOUTHFIELD, MI 48034-1091
- **Practice address phone:** (248) 357-2255
- **Practice address fax:** (248) 948-9691
- **Mailing address:** 29100 NORTHWESTERN HWY STE 400, SOUTHFIELD, MI 48034-1091
- **Mailing address phone:** (248) 357-2255
- **Mailing address fax:** (248) 948-9691

## Taxonomy

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

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 01/14/2014