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General NPI Number Information
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NPI Number | 1720495229
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Entity Type | Organization
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Legal Business Name | SPECIALIZED HOMECARE INC
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Dates
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Enumeration Date | 07/16/2014
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 3890 CHARLEVOIX AVE STE 160
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City | PETOSKEY
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State | MI
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Zip | 49770-8420
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Country | US
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Telephone | 231-753-2700
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Fax | 231-881-9024
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Provider Business Mailing Address
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Address Line | 1535 HIGHWOOD E
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City | PONTIAC
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State | MI
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Zip | 48340-1234
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Country | US
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Telephone | 877-944-9800
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Fax | 248-409-0403
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Authorized Official
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Title or Position | OWNER
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Name | CARLIA CICHON
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Credential |
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Telephone | 877-944-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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