Independent Life Supportive Services

LBN: Independent Life Supportive Services
Independent Life Supportive Services is an health care organization with primary practice located at 2912 Ravine Dr Apt 206, Lake Orion MI 48360-2392. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Independent Life Supportive Services can be contacted via phone (248) 391-2787, or through Tankersley, Brad R via phone (248) 391-2787.

Contact Information

Primary practice address
2912 Ravine Dr Apt 206 Lake Orion MI 48360-2392
Phone: (248) 391-2787
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tankersley, Brad R
Phone: (248) 391-2787

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1417081167
LBN Legal business name Independent Life Supportive Services
DBA Doing business as
Authorized official Tankersley, Brad R
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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