Organization Name: | REVERENCE HOME HEALTH AND HOSPICE |
NPI Number: | 1023051935 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA K YOUNG (PRESIDENT) |
Mailing Address: | 348 North Burdick Street Kalamazoo |
State: | MI US |
Postal Code: | 49007 |
Phone Number: | 2693431396 |
Fax Number: | 2693828006 |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 07/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |