Independent Life Supportive Services
Independent Life Supportive Services is a Mental Illness Community Based Residential Treatment Facility in Lake Orion, Michigan. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
2912 Ravine Dr Apt 206Lake Orion, MI 48360-2392
Phone: (248) 391-2787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X |
|---|
Record details
| NPI number | 1417081167 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brad Tankersley — Director Of Operations · (248) 391-2787 |
| NPI enumerated | March 15, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2912 Ravine Dr, Apt 206, Lake Orion, MI 48360-2392 |