Organization Name: | HOSPICE CARE OF SOUTHWEST MICHIGAN |
NPI Number: | 1235197401 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEAN M MAILE (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 222 N Kalamazoo Mall Suite 100 Kalamazoo |
State: | MI US |
Postal Code: | 490073881 |
Phone Number: | 2693450273 |
Fax Number: | 2693458522 |
NPI Enumeration Date: | 05/03/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 393510 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |