MEDICARE: HMH MANAGEMENT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0808X	Psychiatric/Mental Health Registered Nurse

General Provider Information

NPI Number	:	1578291514
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HMH MANAGEMENT LLC

Provider Business Mailing Address
First Line	:	11103 MCGREGOR RD
Second Line	:
City	:	PINCKNEY
State	:	MI
Zip	:	48169-9540
Country	:	US
Telephone Number	:	734-834-8181
Fax Number	:

Provider Business Practice Location Address
First Line	:	5770 HIGHLAND RD STE C
Second Line	:
City	:	WATERFORD
State	:	MI
Zip	:	48327-1877
Country	:	US
Telephone Number	:	734-834-8181
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER/ MANAGER
Name	:	JILLIAN PRICE
Credential	:	NP
Telephone Number	:	734-834-8181

Provider Enumeration Date	:	08/09/2022
Last Update Date	:	08/09/2022

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