| Organization Name: | POKAGON HOME HEALTH SERVICES |
| NPI Number: | 1225185705 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTINE DAUGHERTY (HEALTH DIRECTOR) |
| Mailing Address: | 57392 M 51 S Dowagiac |
| State: | MI US |
| Postal Code: | 49047 |
| Phone Number: | 2697824141 |
| Fax Number: | 2697828797 |
| NPI Enumeration Date: | 01/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |