| Organization Name: | KEWEENAW HOME NURSING, INC. |
| NPI Number: | 1548214315 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WANDA M KOLB (ADMINISTRATOR) |
| Mailing Address: | 311 6th St Calumet |
| State: | MI US |
| Postal Code: | 499131507 |
| Phone Number: | 9063375700 |
| Fax Number: | 9063379929 |
| NPI Enumeration Date: | 05/19/2006 |
| NPI Last Update Date: | 07/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 14333 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |