Healthcare Provider Details
I. General information
NPI: 1083118921
Provider Name (Legal Business Name): MICHIGAN PALLIATIVE & HOSPICE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/23/2018
Last Update Date: 06/05/2023
Certification Date: 06/05/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
32255 NORTHWESTERN HWY STE 197
FARMINGTON HILLS MI
48334-1566
US
IV. Provider business mailing address
32255 NORTHWESTERN HWY STE 197
FARMINGTON HILLS MI
48334-1566
US
V. Phone/Fax
- Phone: 833-660-0933
- Fax:
- Phone: 833-660-0933
- Fax: 248-928-0967
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ADIL
AKHTAR
Title or Position: CEO
Credential:
Phone: 833-660-0933