| Organization Name: | REVERENCE HOME HEALTH AND HOSPICE |
| NPI Number: | 1598882110 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA K. YOUNG (PRESIDENT) |
| Mailing Address: | 716 German Street Tawas City |
| State: | MI US |
| Postal Code: | 487639349 |
| Phone Number: | 9893624611 |
| Fax Number: | 9893628771 |
| NPI Enumeration Date: | 03/26/2007 |
| NPI Last Update Date: | 10/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 353512 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |