Provider Demographics
NPI:1700055605
Name:DISABILITY NETWORK EASTERN MICHIGAN
Entity Type:Organization
Organization Name:DISABILITY NETWORK EASTERN MICHIGAN
Other - Org Name:OAKLAND & MACOMB CENTER FOR INDEPENDENT LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:WINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-268-4160
Mailing Address - Street 1:1709 JOHN R
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-2512
Mailing Address - Country:US
Mailing Address - Phone:586-268-4160
Mailing Address - Fax:586-285-9942
Practice Address - Street 1:1709 JOHN R
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-2512
Practice Address - Country:US
Practice Address - Phone:586-268-4160
Practice Address - Fax:586-285-9942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management