Organization
EXPERIENCE LIVING, LLC
Active
Other names
Skippers Road Ventures, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
STEFAN STRATION (PRESIDENT)
(248) 760-7665
Entity
Organization
Contact information
Practice address
1829 WESTRIDGE DR, ROCHESTER HILLS, MI 48306-3276
(248) 760-7665
Mailing address
1829 WESTRIDGE DR, ROCHESTER HILLS, MI 48306-3276
(248) 760-7665
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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