| NPI | 1841674918 |
|---|---|
| Former Legal Business Name | MY INDEPENDENT LIVING INC. |
| Entity Type | Organization |
| Authorized Contact | MISTY LYNN LAWRENCE Owner 586-806-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |