Organization Name: | PREMIER HOSPICE, LLC |
NPI Number: | 1003060310 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MOHAMMAD QAZI (PRESIDENT) |
Mailing Address: | 33333 Dequindre Rd Suite D Troy |
State: | MI US |
Postal Code: | 480834624 |
Phone Number: | 8775801885 |
Fax Number: | 2485979015 |
NPI Enumeration Date: | 11/13/2008 |
NPI Last Update Date: | 04/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |