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General NPI Number Information
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NPI Number | 1689616054
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Entity Type | Organization
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Legal Business Name | HOSPICE OF MICHIGAN, INC.
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 400 GALLERIA OFFICENTRE STE 400
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City | SOUTHFIELD
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State | MI
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Zip | 48034-2162
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Country | US
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Telephone | 248-353-2070
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Fax |
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Provider Business Mailing Address
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Address Line | 2366 OAK VALLEY DR
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City | ANN ARBOR
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State | MI
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Zip | 48103-8944
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Country | US
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Telephone | 248-353-2070
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Fax |
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | LEE ANN MYERS
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Credential |
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Telephone | 313-578-6244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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