Organization
INDEPENDENT HOME CARE OF MI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHRYN TRILBY FLICK BBA/MBA (DIRECTOR OF BUSINESS OPERATIONS)
(810) 750-2713
Entity
Organization
Contact information
Practice address
14165 N FENTON RD STE 102B, FENTON, MI 48430-1148
(810) 750-2713
(810) 750-1261
Mailing address
14165 N FENTON RD STE 102B, FENTON, MI 48430-1148
(810) 750-2713
(810) 750-1261
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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