Independent Lifestyle Clubhouse Llc

LBN: Independent Lifestyle Clubhouse Llc
Independent Lifestyle Clubhouse Llc is an health care organization with primary practice located at 4427 Inkster Rd , Inkster MI 48141-3058. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Independent Lifestyle Clubhouse Llc can be contacted via phone (313) 622-3287, or through Jackson, Shondra Lynn via phone (313) 622-3287.

Contact Information

Primary practice address
4427 Inkster Rd Inkster MI 48141-3058
Phone: (313) 622-3287
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Shondra Lynn
Phone: (313) 622-3287

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1235685694
LBN Legal business name Independent Lifestyle Clubhouse Llc
DBA Doing business as
Authorized official Jackson, Shondra Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2016
Last updated Feb 5th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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