Healthcare Provider Details

I. General information

NPI: 1568601334
Provider Name (Legal Business Name): MIDMICHIGAN VISITING NURSE ASSOC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2009
Last Update Date: 02/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3007 N SAGINAW RD
MIDLAND MI
48640-4555
US

IV. Provider business mailing address

3007 N SAGINAW RD
MIDLAND MI
48640-4555
US

V. Phone/Fax

Practice location:
  • Phone: 989-633-1400
  • Fax:
Mailing address:
  • Phone: 989-633-1400
  • 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: PAMELA A MELCHI
Title or Position: MANAGER
Credential:
Phone: 989-633-0746