Healthcare Provider Details

I. General information

NPI: 1962446237
Provider Name (Legal Business Name): HOSPICE OF MICHIGAN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 11/26/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 S OTSEGO AVE
GAYLORD MI
49735-1776
US

IV. Provider business mailing address

2366 OAK VALLEY DR
ANN ARBOR MI
48103-8944
US

V. Phone/Fax

Practice location:
  • Phone: 989-731-2744
  • Fax:
Mailing address:
  • Phone: 989-358-4280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LEE ANN MYERS
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential:
Phone: 734-718-5037