Organization Name: | RESIDENTIAL HOSPICE, LLC |
NPI Number: | 1689904591 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MADEARA CARON (BILLING MANAGER) |
Mailing Address: | 5440 Corporate Dr Suite 400 Troy |
State: | MI US |
Postal Code: | 480982646 |
Phone Number: | 8669025854 |
Fax Number: | 8669034000 |
NPI Enumeration Date: | 12/29/2009 |
NPI Last Update Date: | 04/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |