Healthcare Provider Details

I. General information

NPI: 1982058939
Provider Name (Legal Business Name): SCHOOLCRAFT MEMORIAL HOMECARE AND HOSPICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2016
Last Update Date: 04/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 MAIN ST
MANISTIQUE MI
49854-1522
US

IV. Provider business mailing address

7870W US HIGHWAY 2
MANISTIQUE MI
49854-8992
US

V. Phone/Fax

Practice location:
  • Phone: 906-341-3284
  • Fax:
Mailing address:
  • Phone: 906-341-3284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: TANYA HOAR
Title or Position: HOSPITAL ADMINISTRATOR
Credential:
Phone: 906-341-3200