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NPI Code Detail

MEDICARE: HOSPICE OF MICHIGAN, INC.

MEDICARE: HOSPICE OF MICHIGAN, 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
1251G00000XCommunity Based Hospice Care Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
208759OTHERMIBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1508800418
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOSPICE OF MICHIGAN, INC.
Provider Business Mailing Address
First Line : 2366 OAK VALLEY DR
Second Line :
City : ANN ARBOR
State : MI
Zip : 48103-8944
Country : US
Telephone Number : 616-454-1426
Fax Number :
Provider Business Practice Location Address
First Line : 989 SPAULDING AVE SE
Second Line :
City : ADA
State : MI
Zip : 49301-3701
Country : US
Telephone Number : 616-454-1426
Fax Number :
Authorized Official
Title or Position : CHIEF ADMINISTRATIVE OFFICER
Name : LEE ANN MYERS
Credential :
Telephone Number : 734-718-5037
Provider Enumeration Date : 06/15/2006
Last Update Date : 11/26/2024

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Directions to “HOSPICE OF MICHIGAN, INC. ” Practice Location

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