Healthcare Provider Details

I. General information

NPI: 1609871425
Provider Name (Legal Business Name): WINGS OF HOPE HOSPICE AND PALLIATIVE CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 LINN ST STE A
ALLEGAN MI
49010-1525
US

IV. Provider business mailing address

530 LINN ST STE A
ALLEGAN MI
49010-1525
US

V. Phone/Fax

Practice location:
  • Phone: 800-796-2676
  • Fax: 269-686-9643
Mailing address:
  • Phone: 800-796-2676
  • Fax: 269-686-9643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateMI

VIII. Authorized Official

Name: MS. THERESA LYNN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 800-796-2676