| Organization Name: | INTELICARE HOSPICE SERVICES, LLC |
| NPI Number: | 1053709279 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TONI-LYNN WALKER (REGIONAL DIRECTOR OF OPERATIONS) |
| Mailing Address: | 441 S Main St Suite 4 Standish |
| State: | MI US |
| Postal Code: | 486589480 |
| Phone Number: | 9898460480 |
| Fax Number: | 9898460482 |
| NPI Enumeration Date: | 12/23/2014 |
| NPI Last Update Date: | 12/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |