Organization Name: | FIRST STATE HOSPICE CARE INC |
NPI Number: | 1740609023 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHAHID IMRAN (ADMINISTRATOR) |
Mailing Address: | 3901 Fortune Blvd Saginaw |
State: | MI US |
Postal Code: | 486032287 |
Phone Number: | 9897712100 |
Fax Number: | |
NPI Enumeration Date: | 04/15/2014 |
NPI Last Update Date: | 02/18/2015 |
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: |