Organization Name: | HOSPICE ANGELIC CARE INC. |
NPI Number: | 1104058783 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELANIE R HAYES (DIRECTOR) |
Mailing Address: | 430 W M 55 Suite B Tawas City |
State: | MI US |
Postal Code: | 487639239 |
Phone Number: | 9893626600 |
Fax Number: | 9893626605 |
NPI Enumeration Date: | 08/17/2009 |
NPI Last Update Date: | 04/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 1041000108 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |