Healthcare Provider Details

I. General information

NPI: 1992159297
Provider Name (Legal Business Name): PARRISH PALLIATIVE AND HOSPICE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2016
Last Update Date: 06/28/2024
Certification Date: 06/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25925 TELEGRAPH RD STE 202
SOUTHFIELD MI
48033-2527
US

IV. Provider business mailing address

25925 TELEGRAPH RD STE 202
SOUTHFIELD MI
48033-2527
US

V. Phone/Fax

Practice location:
  • Phone: 248-352-3400
  • Fax: 248-352-2995
Mailing address:
  • Phone: 248-352-3400
  • Fax: 248-352-2995

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: DIANE H PARRISH
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 248-352-3400