MEDICARE: WEST MICHIGAN HOME HEALTH, INC

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	4704092761	MI

General Provider Information

NPI Number	:	1326345406
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST MICHIGAN HOME HEALTH, INC

Provider Business Mailing Address
First Line	:	800 E ELLIS RD
Second Line	:
City	:	NORTON SHORES
State	:	MI
Zip	:	49441-5622
Country	:	US
Telephone Number	:	231-759-1590
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 E ELLIS RD
Second Line	:
City	:	NORTON SHORES
State	:	MI
Zip	:	49441-5622
Country	:	US
Telephone Number	:	231-759-1590
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHRIS BUTLER
Credential	:
Telephone Number	:	231-759-1590

Provider Enumeration Date	:	02/25/2011
Last Update Date	:	02/25/2011

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