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General NPI Number Information
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NPI Number | 1740283787
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Entity Type | Organization
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Legal Business Name | HOSPICE OF MUSKEGON COUNTY, INC.
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 1050 W WESTERN AVE STE 400
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City | MUSKEGON
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State | MI
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Zip | 49441-1666
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Country | US
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Telephone | 231-728-3442
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Fax | 231-726-2581
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Provider Business Mailing Address
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Address Line | 1050 W WESTERN AVE STE 400
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City | MUSKEGON
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State | MI
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Zip | 49441-1666
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Country | US
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Telephone | 231-728-3442
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Fax | 231-726-2581
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | SUSAN HOUSEMAN
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Credential | RN, BSN, NHA
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Telephone | 231-728-6820
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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 | 613510
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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