MEDICARE: ALATOR HOSPICE OF EASTERN MICHIGAN, INC.

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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1871837799
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALATOR HOSPICE OF EASTERN MICHIGAN, INC.

Provider Business Mailing Address
First Line	:	2843 E GRAND RIVER AVE
Second Line	:	BOX 260
City	:	EAST LANSING
State	:	MI
Zip	:	48823-6722
Country	:	US
Telephone Number	:	517-206-1388
Fax Number	:	517-708-3081

Provider Business Practice Location Address
First Line	:	2843 E GRAND RIVER AVE
Second Line	:	BOX 260
City	:	EAST LANSING
State	:	MI
Zip	:	48823-6722
Country	:	US
Telephone Number	:	517-206-1388
Fax Number	:	517-708-3081

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ASHER J BASHIR
Credential	:	J.D.
Telephone Number	:	517-206-1388

Provider Enumeration Date	:	11/15/2012
Last Update Date	:	11/15/2012

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