Healthcare Provider Details

I. General information

NPI: 1811853591
Provider Name (Legal Business Name): APOLLO X-MAN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2025
Last Update Date: 12/26/2025
Certification Date: 12/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 N 26TH ST STE 118
ESCANABA MI
49829-2500
US

IV. Provider business mailing address

9892 S.75 RD
RAPID RIVER MI
49878-9302
US

V. Phone/Fax

Practice location:
  • Phone: 906-553-7186
  • Fax:
Mailing address:
  • Phone: 906-420-1335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. CARMELLA RENEE COLE
Title or Position: OWNER/ORGANIZER
Credential: R.N
Phone: 906-420-1335