| Organization Name: | CREATING INDEPENDANCE LLC |
| NPI Number: | 1033487244 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CYNTHIA SIMPSON (GENERAL PARTNER) |
| Mailing Address: | 416 E Superior St Wayland |
| State: | MI US |
| Postal Code: | 493481146 |
| Phone Number: | 2698384660 |
| Fax Number: | 2697922074 |
| NPI Enumeration Date: | 12/02/2011 |
| NPI Last Update Date: | 12/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |