Organization
LIFESTYLE INDEPENDENT LIVING , LLC
Active
Other names
Lifestyle Independent Living, Andrea Rogers, Esther Ross
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ESTHER LARAYNE ROSS III (OWNER)
(947) 517-0088
Entity
Organization
Contact information
Practice address
5640 W MAPLE RD STE 203, WEST BLOOMFIELD, MI 48322-3718
(947) 517-0088
Mailing address
5640 W MAPLE RD STE 203, WEST BLOOMFIELD, MI 48322-3718
(947) 517-0088
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
11/14/2024
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