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Organization

COMMUNITY LIVING OPTIONS

Active
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Organization

COMMUNITY LIVING OPTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORINDA JUNE ANDERSON (DIRECTOR QA)
(269) 343-6355
Entity
Organization

Contact information

Practice address
626 REED AVE, KALAMAZOO, MI 49001-2971
(269) 343-6355
(269) 343-0054
Mailing address
626 REED AVE, KALAMAZOO, MI 49001-2971
(269) 343-6355
(269) 343-0054

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
AS390250889
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AS390250889
TRANSITIONS LICENSE NUMBER
MI
Enumeration date
12/14/2017
Last updated
12/14/2017
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