Organization
COMMUNITY LIVING OPTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORINDA JUNE ANDERSON (DIRECTOR QA)
(269) 343-6355
Entity
Organization
Contact information
Practice address
626 REED AVE, KALAMAZOO, MI 49001-2971
(269) 343-6355
(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
253J00000X
Foster Care Agency
Primary
AS390366234
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AS390366234
LICENSE NUMBER
MI
Enumeration date
12/14/2017
Last updated
12/14/2017
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