Organization
INDEPENDENT COMMUNITY LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARAH KEPLER (CHEIF EXECUTIVE OFFICER)
(989) 615-1915
Entity
Organization
Contact information
Practice address
5630 N EASY ST, SANFORD, MI 48657-9310
(989) 615-1915
Mailing address
5630 N EASY ST, SANFORD, MI 48657-9310
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/21/2012
Last updated
10/21/2012
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