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NPI Code Detail

MEDICARE: CHRISTIAN HOME SERVICES INC

MEDICARE: CHRISTIAN HOME SERVICES 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1942304332
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHRISTIAN HOME SERVICES INC
Provider Business Mailing Address
First Line : P.O. BOX 1224
Second Line : 209 E. CHIPPEWA ST.
City : MOUNT PLEASANT
State : MI
Zip : 48804-1224
Country : US
Telephone Number : 989-772-1261
Fax Number : 989-772-1300
Provider Business Practice Location Address
First Line : 209 E CHIPPEWA ST
Second Line :
City : MOUNT PLEASANT
State : MI
Zip : 48858-1609
Country : US
Telephone Number : 989-772-1261
Fax Number : 989-772-1300
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. KENT N VANDER LOON
Credential :
Telephone Number : 979-772-1261
Provider Enumeration Date : 09/07/2006
Last Update Date : 08/22/2020

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Directions to “CHRISTIAN HOME SERVICES INC ” Practice Location

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