Healthcare Provider Details
I. General information
NPI: 1346245677
Provider Name (Legal Business Name): HORIZON HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/14/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1001 GIESAU DR
ONTONAGON MI
49953-1454
US
IV. Provider business mailing address
1001 GIESAU DR
ONTONAGON MI
49953-1454
US
V. Phone/Fax
- Phone: 906-884-6092
- Fax: 906-884-6158
- Phone: 906-884-6092
- Fax: 906-884-6158
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | 237469 |
| License Number State | MI |
VIII. Authorized Official
Name: MISS
POLLY
KARTTUNEN
Title or Position: OWNER ADMINISTATOR
Credential:
Phone: 906-884-6092