MEDICARE: MONARCH HOME HEALTH SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1114122272
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONARCH HOME HEALTH SERVICES

Provider Business Mailing Address
First Line	:	526 W 14TH ST
Second Line	:	SUITE 143
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-4051
Country	:	US
Telephone Number	:	231-932-0708
Fax Number	:

Provider Business Practice Location Address
First Line	:	526 W 14TH ST
Second Line	:	SUITE 143
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-4051
Country	:	US
Telephone Number	:	231-932-0708
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SUSAN RAY
Credential	:
Telephone Number	:	231-932-0708

Provider Enumeration Date	:	06/19/2007
Last Update Date	:	08/22/2020

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Directions to “MONARCH HOME HEALTH SERVICES ” Practice Location

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