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NPI Code Detail

MEDICARE: EMMANUEL HOSPICE

MEDICARE: EMMANUEL HOSPICE
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
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1740548577
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMMANUEL HOSPICE
Provider Business Mailing Address
First Line : 401 HALL ST SW STE 263
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49503-4988
Country : US
Telephone Number : 166-719-0919
Fax Number : 616-719-0933
Provider Business Practice Location Address
First Line : 401 HALL ST SW STE 263
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49503-4988
Country : US
Telephone Number : 166-719-0919
Fax Number : 616-719-0933
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : SARA TORREY LOWE
Credential :
Telephone Number : 616-737-6267
Provider Enumeration Date : 04/30/2012
Last Update Date : 06/11/2021

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Directions to “EMMANUEL HOSPICE ” Practice Location

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