Organization
MI INDEPENDENT LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER L THETFORD (OWNER)
(231) 942-2091
Entity
Organization
Contact information
Practice address
1526 N MITCHELL ST, CADILLAC, MI 49601-1131
(231) 942-2091
Mailing address
17330 HONOR HWY LOT 1, INTERLOCHEN, MI 49643-9226
(231) 942-2091
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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