Organization
COMMUNITY LIVING OPTIONS
Active
Parent organization
COMMUNITY LIVING OPTIONS
Other names
AS390092832 Cliffwood
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY LIVING OPTIONS
Authorized official
LORINDA JUNE ANDERSON (DIRECTOR QA)
(269) 343-6355
Entity
Organization
Contact information
Practice address
626 REED AVE, KALAMAZOO, MI 49001-2971
(269) 343-6653
(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
104100000X
Social Worker
Primary
6802046743
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AS390011418
LICENSE NUMBER
MI
01
—
AS390011445
LICENSE NUMBER
MI
01
—
AS390011454
LICENSE NUMBER
MI
01
—
AS390015350
LICENSE NUMBER
MI
01
—
AS390073055
LICENSE NUMBER
MI
01
—
AS390092832
LICENSE NUMBER
MI
01
—
AS390250889
LICENSE NUMBER
MI
01
—
AS390291227
LICENSE NUMBER
MI
01
—
AS390317402
LICENSE NUMBER
MI
01
—
AS390366234
LICENSE NUMBER
MI
Enumeration date
12/11/2017
Last updated
12/11/2017
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