Organization
CREATING INDEPENDANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA SIMPSON (GENERAL PARTNER)
(269) 838-4660
Entity
Organization
Contact information
Practice address
416 E SUPERIOR ST, WAYLAND, MI 49348-1146
(269) 838-4660
(269) 792-2074
Mailing address
416 E SUPERIOR ST, WAYLAND, MI 49348-1146
(269) 838-4660
(269) 792-2074
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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