MEDICARE: NEW CENTURY HOSPICE AND PALLIATIVE CARE, LLC

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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1245971555
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW CENTURY HOSPICE AND PALLIATIVE CARE, LLC

Provider Business Mailing Address
First Line	:	1389 E 12 MILE RD
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-2654
Country	:	US
Telephone Number	:	248-997-4988
Fax Number	:	248-547-5215

Provider Business Practice Location Address
First Line	:	1389 E 12 MILE RD
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-2654
Country	:	US
Telephone Number	:	248-997-4988
Fax Number	:	248-547-5215

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	NANCY P RAZALAN
Credential	:
Telephone Number	:	248-390-9182

Provider Enumeration Date	:	04/02/2022
Last Update Date	:	04/02/2022

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