Organization
ANN ARBOR CENTER FOR INDEPENDENT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEWIS ALEXANDER GOSSAGE (EXECUTIVE DIRECTOR, INTERIM)
(734) 971-0277
Entity
Organization
Contact information
Practice address
3941 RESEARCH PARK DRIVE, ANN ARBOR, MI 48108-2215
(734) 971-0277
(734) 971-0826
Mailing address
3941 RESEARCH PARK DRIVE, ANN ARBOR, MI 48108-2215
(734) 971-0277
(734) 971-0826
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801062814
MI
1041C0700X
Clinical Social Worker
6801067044
MI
1041C0700X
Clinical Social Worker
6801089981
MI
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/05/2009
Last updated
03/22/2022
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