MEDICARE: VISITING NURSE SERVICES OF MICHIGAN

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1831136167
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISITING NURSE SERVICES OF MICHIGAN

Provider Business Mailing Address
First Line	:	3140 W. CAMPUS DR
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706
Country	:	US
Telephone Number	:	989-667-2324
Fax Number	:	989-667-2325

Provider Business Practice Location Address
First Line	:	3140 W. CAMPUS DR
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706
Country	:	US
Telephone Number	:	989-667-2324
Fax Number	:	989-667-2325

Authorized Official
Title or Position	:	DIRECTOR OF FINANCE
Name	:	STEVE LOY
Credential	:
Telephone Number	:	810-496-8633

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	03/25/2008

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