Organization
INDEPENDENT COMMUNITY CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANNICE CRAWFORD (CEO/PRESIDENT)
(248) 476-0583
Entity
Organization
Contact information
Practice address
21111 MIDDLEBELT RD, FARMINGTON HILLS, MI 48336-5549
(248) 476-0583
(248) 476-0586
Mailing address
21111 MIDDLEBELT RD, FARMINGTON HILLS, MI 48336-5549
(248) 476-0583
(248) 476-0586
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/13/2006
Last updated
12/05/2013
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