Provider Demographics
NPI:1275977886
Name:INDIVIDUAL EMPOWERMENT, INC.
Entity Type:Organization
Organization Name:INDIVIDUAL EMPOWERMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/PRES AND EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-782-4689
Mailing Address - Street 1:26381 JUDY CIR
Mailing Address - Street 2:
Mailing Address - City:BROWNSTOWN
Mailing Address - State:MI
Mailing Address - Zip Code:48174-9431
Mailing Address - Country:US
Mailing Address - Phone:734-782-4689
Mailing Address - Fax:734-782-4689
Practice Address - Street 1:26381 JUDY CIR
Practice Address - Street 2:
Practice Address - City:BROWNSTOWN
Practice Address - State:MI
Practice Address - Zip Code:48174-9431
Practice Address - Country:US
Practice Address - Phone:734-782-4689
Practice Address - Fax:734-782-4689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-25
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities