Organization
INDEPENDENCE CARE OF MICHIGAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICK TROIANO (DIRECTOR OF GOVERNMENT AFFAIRS)
(603) 520-1603
Entity
Organization
Contact information
Practice address
3200 GREENFIELD RD STE 300, DEARBORN, MI 48120-1805
(313) 923-3145
(412) 312-3828
Mailing address
1016 COLLIER CENTER WAY STE 206, NAPLES, FL 34110-8473
(603) 520-1603
(412) 312-3828
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Enumeration date
12/05/2023
Last updated
09/04/2024
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