Organization Name: | MUNSON HOME CARE |
NPI Number: | 1104215946 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHARI L WILSON (PRESIDENT) |
Mailing Address: | 7985 Mackinaw Trl Cadillac |
State: | MI US |
Postal Code: | 496018111 |
Phone Number: | 2319356520 |
Fax Number: | 2319359116 |
NPI Enumeration Date: | 01/16/2015 |
NPI Last Update Date: | 01/16/2015 |
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: |